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 $60.26 / $123.03 / $223.87	Facility	26	$60.26	$123.03	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $758.58	Professional		$169.82	$275.42	$758.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $100.00 / $208.93	Professional	26	$56.23	$100.00	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $165.96 / $436.52	Professional	TC	$112.20	$165.96	$436.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $87.10 / $95.50	Professional	26	$57.54	$87.10	$95.50
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $70.79 / $89.13	Professional	26	$66.07	$70.79	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $288.40 / $457.09	Professional		$169.82	$288.40	$457.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $77.62 / $147.91	Professional	26	$60.26	$77.62	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $190.55 / $575.44	Professional	TC	$112.20	$190.55	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $524.81	Professional		$169.82	$309.03	$524.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $75.86 / $123.03	Professional	26	$45.71	$75.86	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $213.80 / $398.11	Professional	TC	$114.82	$213.80	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $295.12	Professional		$177.83	$239.88	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $79.43 / $95.50	Professional	26	$58.88	$79.43	$95.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $158.49 / $199.53	Professional	TC	$120.23	$158.49	$199.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $263.03 / $467.74	Professional		$177.83	$263.03	$467.74
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $70.79 / $125.89	Professional	26	$51.29	$70.79	$125.89
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $190.55 / $338.84	Professional	TC	$114.82	$190.55	$338.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $218.78 / $229.09	Professional		$199.53	$218.78	$229.09
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $72.44 / $102.33	Professional	26	$66.07	$72.44	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	TC	$208.93	$208.93	$208.93
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $85.11 / $1,584.89	Professional	26	$35.48	$85.11	$1,584.89
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $87.10 / $199.53	Facility	26	$57.54	$87.10	$199.53
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $275.42 / $537.03	Professional		$177.83	$275.42	$537.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $77.62 / $141.25	Professional	26	$56.23	$77.62	$141.25
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $190.55 / $389.05	Professional	TC	$120.23	$190.55	$389.05
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $263.03 / $407.38	Professional		$66.07	$263.03	$407.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $67.61	Facility	26	$60.26	$60.26	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $213.80 / $331.13	Professional		$64.57	$213.80	$331.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $60.26 / $67.61	Professional	26	$57.54	$60.26	$67.61
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $114.82 / $269.15	Professional	TC	$112.20	$114.82	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $251.19 / $446.68	Professional		$158.49	$251.19	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $70.79 / $125.89	Professional	26	$51.29	$70.79	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $162.18 / $338.84	Professional	TC	$109.65	$162.18	$338.84

Pennsylvania rates for HCPCS 70470