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 $112.20 / $229.09 / $426.58	Facility	26	$112.20	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $512.86 / $1,659.59	Professional		$354.81	$512.86	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $151.36 / $309.03	Professional	26	$85.11	$151.36	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $354.81 / $870.96	Professional	TC	$263.03	$354.81	$870.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $123.03 / $158.49	Professional	26	$120.23	$123.03	$158.49
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $107.15 / $131.83	Professional	26	$100.00	$107.15	$131.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $512.86 / $1,412.54	Professional		$338.84	$512.86	$1,412.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $208.93	Professional	26	$85.11	$112.20	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $398.11 / $1,174.90	Professional	TC	$251.19	$398.11	$1,174.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $741.31 / $1,348.96	Professional		$363.08	$741.31	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $173.78	Professional	26	$64.57	$107.15	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $602.56 / $1,202.26	Professional	TC	$275.42	$602.56	$1,202.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $489.78 / $1,659.59	Professional		$354.81	$489.78	$1,659.59
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $134.90	Professional	26	$83.18	$112.20	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $549.54	Professional	TC	$281.84	$380.19	$549.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $537.03 / $933.25	Professional		$354.81	$537.03	$933.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $177.83	Professional	26	$72.44	$100.00	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $416.87 / $831.76	Professional	TC	$263.03	$416.87	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $436.52 / $1,023.29	Professional		$398.11	$436.52	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $104.71 / $131.83	Professional	26	$95.50	$104.71	$131.83
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $107.15 / $134.90	Professional	26	$89.13	$107.15	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $128.82 / $416.87	Facility	26	$91.20	$128.82	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $512.86 / $1,096.48	Professional		$371.54	$512.86	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $128.82 / $213.80	Professional	26	$85.11	$128.82	$213.80
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $371.54 / $870.96	Professional	TC	$263.03	$371.54	$870.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $977.24 / $1,445.44	Professional		$154.88	$977.24	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $95.50	Facility	26	$85.11	$85.11	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $363.08 / $812.83	Professional		$263.03	$363.08	$812.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $95.50	Professional	26	$83.18	$85.11	$95.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $263.03 / $831.76	Professional	TC	$257.04	$263.03	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $524.81 / $1,174.90	Professional		$302.00	$524.81	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $100.00 / $177.83	Professional	26	$69.18	$100.00	$177.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $389.05 / $1,047.13	Professional	TC	$234.42	$389.05	$1,047.13

Pennsylvania rates for HCPCS 70549