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 $74.13 / $154.88 / $281.84	Facility	26	$74.13	$154.88	$281.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $323.59 / $977.24	Professional		$218.78	$323.59	$977.24
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $104.71 / $239.88	Professional	26	$64.57	$104.71	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $213.80 / $524.81	Professional	TC	$144.54	$213.80	$524.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $89.13	Professional	26	$67.61	$67.61	$89.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	TC	$97.72	$97.72	$97.72
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $91.20 / $109.65	Professional	26	$91.20	$91.20	$109.65
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $288.40 / $575.44	Professional		$218.78	$288.40	$575.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $87.10 / $165.96	Professional	26	$75.86	$87.10	$165.96
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $190.55 / $446.68	Professional	TC	$141.25	$190.55	$446.68
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $371.54 / $616.60	Professional		$223.87	$371.54	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $89.13 / $151.36	Professional	26	$54.95	$89.13	$151.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $263.03 / $478.63	Professional	TC	$151.36	$263.03	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $371.54	Professional		$229.09	$302.00	$371.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $120.23	Professional	26	$74.13	$100.00	$120.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $199.53 / $251.19	Professional	TC	$151.36	$199.53	$251.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $575.44	Professional		$229.09	$302.00	$575.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $85.11 / $158.49	Professional	26	$58.88	$85.11	$158.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $213.80 / $407.38	Professional	TC	$147.91	$213.80	$407.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $281.84	Professional		$257.04	$257.04	$281.84
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $112.20	Professional	26	$83.18	$87.10	$112.20
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $95.50 / $117.49	Professional	26	$85.11	$95.50	$117.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $74.13 / $109.65 / $239.88	Facility	26	$74.13	$109.65	$239.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $331.13 / $645.65	Professional		$223.87	$331.13	$645.65
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $93.33 / $169.82	Professional	26	$64.57	$93.33	$169.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $223.87 / $478.63	Professional	TC	$147.91	$223.87	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $323.59 / $630.96	Professional		$131.83	$323.59	$630.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $75.86 / $79.43 / $79.43	Facility	26	$75.86	$79.43	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $223.87 / $309.03	Professional		$91.20	$223.87	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $75.86 / $79.43	Professional	26	$74.13	$75.86	$79.43
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $144.54 / $302.00	Professional	TC	$141.25	$144.54	$302.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $512.86	Professional		$199.53	$302.00	$512.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $87.10 / $162.18	Professional	26	$60.26	$87.10	$162.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $208.93 / $398.11	Professional	TC	$138.04	$208.93	$398.11

Pennsylvania rates for HCPCS 70492