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 $53.70 / $117.49 / $218.78	Facility	26	$53.70	$117.49	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $229.09 / $478.63	Professional		$147.91	$229.09	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $74.13 / $154.88	Professional	26	$50.12	$74.13	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $134.90 / $363.08	Professional	TC	$93.33	$134.90	$363.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional		$97.72	$97.72	$97.72
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $83.18	Professional	26	$77.62	$77.62	$83.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $380.19	Professional		$147.91	$194.98	$380.19
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $69.18 / $131.83	Professional	26	$53.70	$69.18	$131.83
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $123.03 / $363.08	Professional	TC	$93.33	$123.03	$363.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $269.15 / $446.68	Professional		$144.54	$269.15	$446.68
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $67.61 / $109.65	Professional	26	$40.74	$67.61	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $181.97 / $323.59	Professional	TC	$95.50	$181.97	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $204.17 / $251.19	Professional		$151.36	$204.17	$251.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $85.11	Professional	26	$52.48	$70.79	$85.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $131.83 / $165.96	Professional	TC	$100.00	$131.83	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $398.11	Professional		$154.88	$213.80	$398.11
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $112.20	Professional	26	$45.71	$63.10	$112.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $154.88 / $288.40	Professional	TC	$97.72	$154.88	$288.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $199.53 / $302.00	Professional		$181.97	$199.53	$302.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $66.07 / $102.33	Professional	26	$60.26	$66.07	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $51.29 / $79.43 / $181.97	Facility	26	$51.29	$79.43	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $245.47 / $489.78	Professional		$154.88	$245.47	$489.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $69.18 / $128.82	Professional	26	$51.29	$69.18	$128.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $162.18 / $346.74	Professional	TC	$100.00	$162.18	$346.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $223.87 / $331.13	Professional		$58.88	$223.87	$331.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $60.26	Facility	26	$53.70	$53.70	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $177.83 / $346.74	Professional		$75.86	$177.83	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $53.70 / $60.26	Professional	26	$51.29	$53.70	$60.26
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $95.50 / $218.78	Professional	TC	$93.33	$95.50	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $213.80 / $371.54	Professional		$141.25	$213.80	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $112.20	Professional	26	$45.71	$63.10	$112.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $138.04 / $275.42	Professional	TC	$89.13	$138.04	$275.42

Pennsylvania rates for HCPCS 70460