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 $70.79 / $138.04 / $416.87	Facility	26	$70.79	$138.04	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $416.87 / $1,380.38	Professional		$204.17	$416.87	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $104.71 / $251.19	Professional	26	$66.07	$104.71	$251.19
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $107.15 / $112.20 / $269.15	Professional	52	$107.15	$112.20	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $251.19 / $562.34	Professional	TC	$131.83	$251.19	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $234.42 / $288.40	Professional		$154.88	$234.42	$288.40
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $100.00 / $109.65	Professional	26	$52.48	$100.00	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Professional	TC	$190.55	$190.55	$190.55
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $1,096.48	Professional		$501.19	$501.19	$1,096.48
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $109.65	Professional	26	$83.18	$87.10	$109.65
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $234.42	Professional	TC	$186.21	$186.21	$234.42
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $346.74 / $602.56	Professional		$213.80	$346.74	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $93.33 / $173.78	Professional	26	$75.86	$93.33	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $223.87 / $707.95	Professional	TC	$134.90	$223.87	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $407.38 / $758.58	Professional		$199.53	$407.38	$758.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $87.10 / $144.54	Professional	26	$53.70	$87.10	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $302.00 / $660.69	Professional	TC	$131.83	$302.00	$660.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $275.42 / $1,000.00	Professional		$199.53	$275.42	$1,000.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $91.20 / $109.65	Professional	26	$69.18	$91.20	$109.65
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $173.78 / $218.78	Professional	TC	$131.83	$173.78	$218.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $316.23 / $630.96	Professional		$181.97	$316.23	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $147.91	Professional	26	$60.26	$81.28	$147.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $204.17 / $446.68	Professional	TC	$117.49	$204.17	$446.68
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Facility	26	$891.25	$891.25	$891.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $234.42 / $407.38	Professional		$218.78	$234.42	$407.38
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $85.11 / $125.89	Professional	26	$75.86	$85.11	$125.89
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $40.74 / $43.65 / $45.71	Professional	52	$40.74	$43.65	$45.71
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $234.42 / $239.88	Professional	TC	$194.98	$234.42	$239.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $295.12 / $1,096.48	Professional		$269.15	$295.12	$1,096.48
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $87.10 / $144.54	Professional	26	$77.62	$87.10	$144.54
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $223.87 / $2,344.23	Professional	TC	$147.91	$223.87	$2,344.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $102.33 / $281.84	Facility	26	$70.79	$102.33	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $416.87 / $851.14	Professional		$213.80	$416.87	$851.14
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $123.03 / $204.17	Professional	26	$70.79	$123.03	$204.17
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $263.03 / $588.84	Professional	TC	$141.25	$263.03	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $295.12 / $707.95	Professional		$75.86	$295.12	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $81.28	Facility	26	$69.18	$69.18	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $323.59 / $354.81	Professional		$100.00	$323.59	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $69.18 / $81.28	Professional	26	$67.61	$69.18	$81.28
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $125.89 / $426.58	Professional	TC	$123.03	$125.89	$426.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $295.12 / $676.08	Professional		$181.97	$295.12	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $151.36	Professional	26	$60.26	$83.18	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $186.21 / $602.56	Professional	TC	$120.23	$186.21	$602.56

Pennsylvania rates for HCPCS 70551