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 $57.54 / $151.36 / $426.58	Facility	26	$57.54	$151.36	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $416.87 / $891.25	Professional		$223.87	$416.87	$891.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $114.82 / $204.17	Professional	26	$57.54	$114.82	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $281.84 / $562.34	Professional	TC	$162.18	$281.84	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $245.47 / $316.23	Professional		$199.53	$245.47	$316.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $81.28 / $87.10	Professional	26	$66.07	$81.28	$87.10
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	TC	$239.88	$239.88	$239.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $104.71	Professional	26	$66.07	$66.07	$104.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $363.08 / $812.83	Professional		$213.80	$363.08	$812.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $141.25	Professional	26	$56.23	$75.86	$141.25
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $269.15 / $707.95	Professional	TC	$154.88	$269.15	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $467.74 / $851.14	Professional		$229.09	$467.74	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $70.79 / $128.82	Professional	26	$43.65	$70.79	$128.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $363.08 / $758.58	Professional	TC	$173.78	$363.08	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $309.03 / $1,047.13	Professional		$223.87	$309.03	$1,047.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $74.13 / $89.13	Professional	26	$56.23	$74.13	$89.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $229.09 / $331.13	Professional	TC	$169.82	$229.09	$331.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $346.74 / $630.96	Professional		$218.78	$346.74	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $66.07 / $120.23	Professional	26	$48.98	$66.07	$120.23
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $257.04 / $512.86	Professional	TC	$162.18	$257.04	$512.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $275.42 / $467.74	Professional		$251.19	$275.42	$467.74
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $69.18 / $97.72	Professional	26	$63.10	$69.18	$97.72
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $295.12 / $346.74	Professional	TC	$288.40	$295.12	$346.74
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Professional		$1,096.48	$1,096.48	$1,096.48
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $70.79 / $112.20	Professional	26	$66.07	$70.79	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $85.11 / $371.54	Facility	26	$57.54	$85.11	$371.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $436.52 / $870.96	Professional		$245.47	$436.52	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $112.20 / $190.55	Professional	26	$61.66	$112.20	$190.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $309.03 / $645.65	Professional	TC	$181.97	$309.03	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $354.81 / $794.33	Professional		$61.66	$354.81	$794.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $64.57 / $64.57	Facility	26	$56.23	$64.57	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $281.84 / $489.78	Professional		$162.18	$281.84	$489.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $57.54 / $64.57	Professional	26	$54.95	$57.54	$64.57
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $162.18 / $416.87	Professional	TC	$154.88	$162.18	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $331.13 / $707.95	Professional		$190.55	$331.13	$707.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $67.61 / $120.23	Professional	26	$46.77	$67.61	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $245.47 / $630.96	Professional	TC	$144.54	$245.47	$630.96

Pennsylvania rates for HCPCS 70544