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 $89.13 / $229.09 / $467.74	Facility	26	$89.13	$229.09	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $426.58 / $1,023.29	Professional		$234.42	$426.58	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $120.23 / $223.87	Professional	26	$64.57	$120.23	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $288.40 / $562.34	Professional	TC	$169.82	$288.40	$562.34
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $229.09 / $645.65	Professional		$223.87	$229.09	$645.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $66.07 / $128.82	Professional	26	$63.10	$66.07	$128.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $165.96 / $537.03	Professional	TC	$158.49	$165.96	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $436.52 / $794.33	Professional		$234.42	$436.52	$794.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $79.43 / $131.83	Professional	26	$48.98	$79.43	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $338.84 / $676.08	Professional	TC	$169.82	$338.84	$676.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $309.03 / $380.19	Professional		$229.09	$309.03	$380.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $83.18 / $100.00	Professional	26	$63.10	$83.18	$100.00
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $234.42 / $338.84	Professional	TC	$173.78	$234.42	$338.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $354.81 / $645.65	Professional		$229.09	$354.81	$645.65
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $134.90	Professional	26	$54.95	$74.13	$134.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $257.04 / $512.86	Professional	TC	$165.96	$257.04	$512.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $302.00 / $602.56	Professional		$288.40	$302.00	$602.56
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $79.43 / $112.20	Professional	26	$70.79	$79.43	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $416.87	Facility	26	$91.20	$125.89	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $426.58 / $912.01	Professional		$251.19	$426.58	$912.01
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $117.49 / $204.17	Professional	26	$64.57	$117.49	$204.17
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $302.00 / $645.65	Professional	TC	$181.97	$302.00	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $562.34 / $831.76	Professional		$114.82	$562.34	$831.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Facility	26	$63.10	$63.10	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $281.84 / $338.84	Professional		$223.87	$281.84	$338.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $63.10 / $66.07	Professional	26	$61.66	$63.10	$66.07
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $162.18 / $181.97	Professional	TC	$158.49	$162.18	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $346.74 / $660.69	Professional		$213.80	$346.74	$660.69
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $141.25	Professional	26	$54.95	$74.13	$141.25
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $251.19 / $588.84	Professional	TC	$158.49	$251.19	$588.84

Pennsylvania rates for HCPCS 70540