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 $79.43 / $147.91 / $309.03	Facility	26	$79.43	$147.91	$309.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $371.54 / $1,047.13	Professional		$229.09	$371.54	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $107.15 / $275.42	Professional	26	$74.13	$107.15	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $229.09 / $562.34	Professional	TC	$162.18	$229.09	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $181.97	Professional		$177.83	$177.83	$181.97
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $117.49 / $154.88	Professional	26	$61.66	$117.49	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $102.33 / $123.03	Professional	26	$97.72	$102.33	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $269.15 / $575.44	Professional		$257.04	$269.15	$575.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $169.82	Professional	26	$83.18	$85.11	$169.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $467.74	Professional	TC	$173.78	$181.97	$467.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $489.78 / $912.01	Professional		$281.84	$489.78	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $102.33 / $169.82	Professional	26	$63.10	$102.33	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $363.08 / $724.44	Professional	TC	$190.55	$363.08	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $436.52	Professional		$269.15	$363.08	$436.52
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $109.65 / $131.83	Professional	26	$81.28	$109.65	$131.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $257.04 / $371.54	Professional	TC	$190.55	$257.04	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $363.08 / $616.60	Professional		$257.04	$363.08	$616.60
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $173.78	Professional	26	$70.79	$97.72	$173.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $269.15 / $467.74	Professional	TC	$177.83	$269.15	$467.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $346.74 / $363.08	Professional		$316.23	$346.74	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $97.72 / $141.25	Professional	26	$91.20	$97.72	$141.25
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Professional		$1,122.02	$1,122.02	$1,122.02
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $102.33 / $128.82	Professional	26	$95.50	$102.33	$128.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $109.65 / $194.98	Facility	26	$79.43	$109.65	$194.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $380.19 / $724.44	Professional		$251.19	$380.19	$724.44
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $104.71 / $190.55	Professional	26	$77.62	$104.71	$190.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $257.04 / $524.81	Professional	TC	$169.82	$257.04	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $323.59 / $933.25	Professional		$151.36	$323.59	$933.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $91.20	Facility	26	$83.18	$83.18	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $346.74	Professional		$181.97	$251.19	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $83.18 / $91.20	Professional	26	$79.43	$83.18	$91.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $380.19	Professional	TC	$165.96	$169.82	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $389.05 / $724.44	Professional		$234.42	$389.05	$724.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $95.50 / $173.78	Professional	26	$70.79	$95.50	$173.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $269.15 / $645.65	Professional	TC	$169.82	$269.15	$645.65

Pennsylvania rates for HCPCS 70498