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 $107.15 / $218.78 / $426.58	Facility	26	$107.15	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $524.81 / $2,238.72	Professional		$354.81	$524.81	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $186.21 / $380.19	Professional	26	$100.00	$186.21	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $346.74 / $870.96	Professional	TC	$245.47	$346.74	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $389.05	Professional		$251.19	$251.19	$389.05
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $144.54 / $162.18	Professional	26	$117.49	$144.54	$162.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional	TC	$363.08	$363.08	$363.08
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $125.89 / $158.49	Professional	26	$120.23	$125.89	$158.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $1,202.26	Professional		$354.81	$478.63	$1,202.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $134.90 / $251.19	Professional	26	$107.15	$134.90	$251.19
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $346.74 / $1,096.48	Professional	TC	$245.47	$346.74	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $676.08 / $1,318.26	Professional		$346.74	$676.08	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $125.89 / $204.17	Professional	26	$77.62	$125.89	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $537.03 / $1,122.02	Professional	TC	$251.19	$537.03	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $478.63 / $1,412.54	Professional		$346.74	$478.63	$1,412.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $134.90 / $162.18	Professional	26	$100.00	$134.90	$162.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $331.13 / $407.38	Professional	TC	$245.47	$331.13	$407.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $537.03 / $1,000.00	Professional		$346.74	$537.03	$1,000.00
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $120.23 / $213.80	Professional	26	$87.10	$120.23	$213.80
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $380.19 / $831.76	Professional	TC	$239.88	$380.19	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $426.58 / $831.76	Professional		$389.05	$426.58	$831.76
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $120.23 / $181.97	Professional	26	$112.20	$120.23	$181.97
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $436.52 / $446.68	Professional	TC	$363.08	$436.52	$446.68
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,041.74	Professional		$2,041.74	$2,041.74	$2,041.74
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $125.89 / $177.83	Professional	26	$107.15	$125.89	$177.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $144.54 / $371.54	Facility	26	$102.33	$144.54	$371.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $1,071.52	Professional		$371.54	$524.81	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $141.25 / $251.19	Professional	26	$102.33	$141.25	$251.19
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $363.08 / $794.33	Professional	TC	$251.19	$363.08	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $707.95 / $1,000.00	Professional		$186.21	$707.95	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $112.20 / $112.20	Facility	26	$100.00	$112.20	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $416.87 / $831.76	Professional		$338.84	$416.87	$831.76
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $100.00 / $112.20	Professional	26	$97.72	$100.00	$112.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $239.88 / $933.25	Professional	TC	$234.42	$239.88	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $512.86 / $1,174.90	Professional		$323.59	$512.86	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $117.49 / $223.87	Professional	26	$87.10	$117.49	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $371.54 / $1,023.29	Professional	TC	$234.42	$371.54	$1,023.29

Pennsylvania rates for HCPCS 70543