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 / $229.09 / $426.58	Facility	26	$74.13	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $426.58 / $1,047.13	Professional		$223.87	$426.58	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $109.65 / $190.55	Professional	26	$57.54	$109.65	$190.55
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 26 Typical Low / Median / Typical High $67.61 / $83.18 / $89.13	Professional	26	$67.61	$83.18	$89.13
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 $63.10 / $67.61 / $85.11	Professional	26	$63.10	$67.61	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $338.84 / $812.83	Professional		$213.80	$338.84	$812.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $138.04	Professional	26	$56.23	$75.86	$138.04
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $257.04 / $707.95	Professional	TC	$154.88	$257.04	$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 $177.83 / $363.08 / $758.58	Professional	TC	$177.83	$363.08	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $295.12 / $363.08	Professional		$223.87	$295.12	$363.08
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 / $281.84 / $676.08	Professional		$251.19	$281.84	$676.08
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 / $288.40 / $302.00	Professional	TC	$288.40	$288.40	$302.00
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $67.61 / $107.15	Professional	26	$60.26	$67.61	$107.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $125.89 / $416.87	Facility	26	$57.54	$125.89	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $426.58 / $891.25	Professional		$245.47	$426.58	$891.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $112.20 / $194.98	Professional	26	$61.66	$112.20	$194.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $302.00 / $660.69	Professional	TC	$181.97	$302.00	$660.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $616.60 / $933.25	Professional		$104.71	$616.60	$933.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $64.57	Facility	26	$56.23	$56.23	$64.57
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $245.47 / $309.03	Professional		$162.18	$245.47	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $56.23 / $64.57	Professional	26	$54.95	$56.23	$64.57
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $158.49 / $416.87	Professional	TC	$154.88	$158.49	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $331.13 / $691.83	Professional		$190.55	$331.13	$691.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $66.07 / $120.23	Professional	26	$46.77	$66.07	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $245.47 / $630.96	Professional	TC	$147.91	$245.47	$630.96

Pennsylvania rates for HCPCS 70547