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 $114.82 / $245.47 / $467.74	Facility	26	$114.82	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $446.68 / $933.25	Professional		$281.84	$446.68	$933.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $141.25 / $288.40	Professional	26	$85.11	$141.25	$288.40
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $309.03 / $691.83	Professional	TC	$190.55	$309.03	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $371.54	Professional		$181.97	$181.97	$371.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $128.82	Professional	26	$123.03	$123.03	$128.82
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $104.71 / $131.83	Professional	26	$100.00	$104.71	$131.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $380.19 / $758.58	Professional		$269.15	$380.19	$758.58
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 $181.97 / $269.15 / $851.14	Professional	TC	$181.97	$269.15	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $512.86 / $912.01	Professional		$275.42	$512.86	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $104.71 / $173.78	Professional	26	$64.57	$104.71	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $380.19 / $724.44	Professional	TC	$194.98	$380.19	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $457.09	Professional		$275.42	$371.54	$457.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $131.83	Professional	26	$83.18	$112.20	$131.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $257.04 / $323.59	Professional	TC	$194.98	$257.04	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $741.31	Professional		$275.42	$416.87	$741.31
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 $190.55 / $295.12 / $588.84	Professional	TC	$190.55	$295.12	$588.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $588.84 / $616.60	Professional		$316.23	$588.84	$616.60
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $102.33 / $147.91	Professional	26	$91.20	$102.33	$147.91
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $128.82 / $275.42	Professional	26	$79.43	$128.82	$275.42
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $190.55 / $416.87	Facility	26	$85.11	$190.55	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $478.63 / $933.25	Professional		$302.00	$478.63	$933.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $245.47	Professional	26	$85.11	$138.04	$245.47
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $331.13 / $676.08	Professional	TC	$204.17	$331.13	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $407.38 / $707.95	Professional		$91.20	$407.38	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $97.72	Facility	26	$83.18	$83.18	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $380.19 / $389.05	Professional		$117.49	$380.19	$389.05
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $83.18 / $97.72	Professional	26	$81.28	$83.18	$97.72
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $186.21 / $512.86	Professional	TC	$181.97	$186.21	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $776.25	Professional		$263.03	$407.38	$776.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $97.72 / $186.21	Professional	26	$72.44	$97.72	$186.21
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $275.42 / $660.69	Professional	TC	$181.97	$275.42	$660.69

Pennsylvania rates for HCPCS 70552