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 $61.66 / $123.03 / $223.87	Facility	26	$61.66	$123.03	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $234.42 / $870.96	Professional		$151.36	$234.42	$870.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $91.20 / $218.78	Professional	26	$57.54	$91.20	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $134.90 / $316.23	Professional	TC	$91.20	$134.90	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $100.00	Professional		$50.12	$50.12	$100.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $70.79 / $95.50	Professional	26	$40.74	$70.79	$95.50
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $70.79 / $93.33	Professional	26	$67.61	$70.79	$93.33
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $154.88 / $346.74	Professional		$147.91	$154.88	$346.74
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $63.10 / $120.23	Professional	26	$60.26	$63.10	$120.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $91.20 / $229.09	Professional	TC	$87.10	$91.20	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $436.52	Professional		$154.88	$257.04	$436.52
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 $93.33 / $169.82 / $302.00	Professional	TC	$93.33	$169.82	$302.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $208.93 / $251.19	Professional		$154.88	$208.93	$251.19
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 $97.72 / $131.83 / $190.55	Professional	TC	$97.72	$131.83	$190.55
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $208.93 / $389.05	Professional		$154.88	$208.93	$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 $91.20 / $138.04 / $263.03	Professional	TC	$91.20	$138.04	$263.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $186.21 / $199.53	Professional		$173.78	$186.21	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $74.13 / $93.33	Professional	26	$67.61	$74.13	$93.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $120.23 / $1,202.26	Professional	26	$61.66	$120.23	$1,202.26
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $87.10 / $199.53	Facility	26	$58.88	$87.10	$199.53
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $239.88 / $446.68	Professional		$154.88	$239.88	$446.68
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 $93.33 / $151.36 / $316.23	Professional	TC	$93.33	$151.36	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $316.23 / $416.87	Professional		$83.18	$316.23	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $70.79 / $70.79	Facility	26	$60.26	$70.79	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $154.88 / $588.84	Professional		$53.70	$154.88	$588.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $61.66 / $70.79	Professional	26	$58.88	$61.66	$70.79
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $91.20 / $190.55	Professional	TC	$87.10	$91.20	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $208.93 / $363.08	Professional		$134.90	$208.93	$363.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $70.79 / $128.82	Professional	26	$51.29	$70.79	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $131.83 / $257.04	Professional	TC	$85.11	$131.83	$257.04

Pennsylvania rates for HCPCS 70490