Tynbil: Know the *real* price for healthcare services

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $79.43 / $173.78	Facility	26	$38.02	$79.43	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $181.97 / $660.69	Professional		$102.33	$181.97	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $45.71 / $123.03	Professional	26	$37.15	$45.71	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $112.20 / $281.84	Professional	TC	$64.57	$112.20	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $144.54 / $147.91	Professional		$35.48	$144.54	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $54.95 / $64.57	Professional	26	$30.20	$54.95	$64.57
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	TC	$102.33	$102.33	$102.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $50.12 / $60.26	Professional	26	$47.86	$50.12	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $181.97 / $275.42	Professional		$104.71	$181.97	$275.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $100.00	Professional	26	$39.81	$53.70	$100.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $112.20 / $363.08	Professional	TC	$64.57	$112.20	$363.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $204.17 / $338.84	Professional		$104.71	$204.17	$338.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $50.12 / $83.18	Professional	26	$30.20	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $128.82 / $251.19	Professional	TC	$67.61	$128.82	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $181.97	Professional		$109.65	$147.91	$181.97
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $64.57	Professional	26	$39.81	$53.70	$64.57
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $93.33 / $114.82	Professional	TC	$69.18	$93.33	$114.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $169.82 / $323.59	Professional		$109.65	$169.82	$323.59
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $85.11	Professional	26	$34.67	$47.86	$85.11
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $128.82 / $223.87	Professional	TC	$67.61	$128.82	$223.87
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Facility	26	$77.62	$77.62	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $131.83 / $141.25	Professional		$123.03	$131.83	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $50.12 / $72.44	Professional	26	$44.67	$50.12	$72.44
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $125.89 / $194.98	Professional	TC	$120.23	$125.89	$194.98
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $50.12 / $61.66	Professional	26	$47.86	$50.12	$61.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $93.33	Facility	26	$38.02	$53.70	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $173.78 / $346.74	Professional		$109.65	$173.78	$346.74
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $52.48 / $95.50	Professional	26	$38.90	$52.48	$95.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $109.65 / $239.88	Professional	TC	$69.18	$109.65	$239.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $162.18 / $323.59	Professional		$44.67	$162.18	$323.59
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $45.71	Facility	26	$39.81	$45.71	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $104.71 / $229.09	Professional		$4.17	$104.71	$229.09
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $45.71	Professional	26	$38.90	$39.81	$45.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $66.07 / $181.97	Professional	TC	$64.57	$66.07	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $151.36 / $302.00	Professional		$95.50	$151.36	$302.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $89.13	Professional	26	$34.67	$47.86	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $95.50 / $234.42	Professional	TC	$61.66	$95.50	$234.42

Pennsylvania rates for HCPCS 70450