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 $38.90 / $72.44 / $177.83	Facility	26	$38.90	$72.44	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $251.19 / $812.83	Professional		$128.82	$251.19	$812.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $57.54 / $186.21	Professional	26	$38.02	$57.54	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $144.54 / $316.23	Professional	TC	$87.10	$144.54	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $100.00 / $154.88	Professional		$85.11	$100.00	$154.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $58.88 / $64.57	Professional	26	$30.90	$58.88	$64.57
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $131.83 / $134.90	Professional	TC	$131.83	$131.83	$134.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $181.97 / $524.81	Professional		$173.78	$181.97	$524.81
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $50.12 / $63.10	Professional	26	$47.86	$50.12	$63.10
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $147.91	Professional	TC	$123.03	$123.03	$147.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $218.78 / $331.13	Professional		$131.83	$218.78	$331.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $66.07 / $104.71	Professional	26	$42.66	$66.07	$104.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $147.91 / $398.11	Professional	TC	$91.20	$147.91	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $234.42 / $407.38	Professional		$131.83	$234.42	$407.38
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $60.26 / $100.00	Professional	26	$34.67	$60.26	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $165.96 / $302.00	Professional	TC	$89.13	$165.96	$302.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $177.83 / $218.78	Professional		$131.83	$177.83	$218.78
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 $95.50 / $128.82 / $186.21	Professional	TC	$95.50	$128.82	$186.21
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $354.81	Professional		$131.83	$190.55	$354.81
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $95.50	Professional	26	$40.74	$54.95	$95.50
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $138.04 / $269.15	Professional	TC	$89.13	$138.04	$269.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $154.88 / $269.15	Professional		$147.91	$154.88	$269.15
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $48.98 / $72.44	Professional	26	$44.67	$48.98	$72.44
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $162.18 / $181.97	Professional	TC	$131.83	$162.18	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $181.97 / $524.81	Professional		$131.83	$181.97	$524.81
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $50.12 / $66.07	Professional	26	$47.86	$50.12	$66.07
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $123.03 / $158.49	Professional	TC	$102.33	$123.03	$158.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $53.70 / $125.89	Facility	26	$38.90	$53.70	$125.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $208.93 / $407.38	Professional		$131.83	$208.93	$407.38
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $56.23 / $102.33	Professional	26	$40.74	$56.23	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $144.54 / $281.84	Professional	TC	$91.20	$144.54	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $281.84 / $407.38	Professional		$74.13	$281.84	$407.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $66.07	Facility	26	$39.81	$39.81	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $125.89 / $407.38	Professional		$40.74	$125.89	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $41.69	Professional	26	$38.90	$39.81	$41.69
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $87.10 / $95.50	Professional	TC	$85.11	$87.10	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $181.97 / $331.13	Professional		$114.82	$181.97	$331.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $95.50	Professional	26	$37.15	$51.29	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $123.03 / $269.15	Professional	TC	$81.28	$123.03	$269.15

Pennsylvania rates for HCPCS 70486