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 $58.88 / $107.15 / $218.78	Facility	26	$58.88	$107.15	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $645.65	Professional		$158.49	$257.04	$645.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $102.33 / $199.53	Professional	26	$57.54	$102.33	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $141.25 / $309.03	Professional	TC	$100.00	$141.25	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $87.10 / $95.50	Professional	26	$70.79	$87.10	$95.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	TC	$151.36	$151.36	$151.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $199.53 / $199.53	Professional		$100.00	$199.53	$199.53
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $95.50	Professional	26	$74.13	$74.13	$95.50
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $147.91	Professional	26	$60.26	$81.28	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $100.00 / $398.11	Professional	TC	$95.50	$100.00	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $288.40 / $512.86	Professional		$165.96	$288.40	$512.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $74.13 / $123.03	Professional	26	$46.77	$74.13	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $199.53 / $380.19	Professional	TC	$109.65	$199.53	$380.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $218.78 / $269.15	Professional		$162.18	$218.78	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $95.50	Professional	26	$60.26	$81.28	$95.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $144.54 / $208.93	Professional	TC	$107.15	$144.54	$208.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $213.80 / $389.05	Professional		$162.18	$213.80	$389.05
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $128.82	Professional	26	$52.48	$70.79	$128.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $138.04 / $288.40	Professional	TC	$100.00	$138.04	$288.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $204.17 / $323.59	Professional		$181.97	$204.17	$323.59
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $74.13 / $102.33	Professional	26	$67.61	$74.13	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $177.83 / $181.97	Professional	TC	$177.83	$177.83	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $199.53 / $257.04	Professional		$144.54	$199.53	$257.04
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $74.13 / $95.50	Professional	26	$67.61	$74.13	$95.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $144.54	Facility	26	$58.88	$81.28	$144.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $457.09	Professional		$165.96	$251.19	$457.09
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $77.62 / $141.25	Professional	26	$57.54	$77.62	$141.25
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $162.18 / $316.23	Professional	TC	$102.33	$162.18	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $323.59 / $501.19	Professional		$91.20	$323.59	$501.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $70.79	Facility	26	$60.26	$60.26	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $154.88 / $169.82	Professional		$48.98	$154.88	$169.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $60.26 / $70.79	Professional	26	$58.88	$60.26	$70.79
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $97.72 / $239.88	Professional	TC	$95.50	$97.72	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $234.42 / $407.38	Professional		$154.88	$234.42	$407.38
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $128.82	Professional	26	$52.48	$70.79	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $162.18 / $323.59	Professional	TC	$104.71	$162.18	$323.59

Pennsylvania rates for HCPCS 70480