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 $109.65 / $199.53 / $426.58	Facility	26	$109.65	$199.53	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $524.81 / $1,995.26	Professional		$331.13	$524.81	$1,995.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $190.55 / $407.38	Professional	26	$107.15	$190.55	$407.38
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $138.04 / $239.88 / $239.88	Professional	52	$138.04	$239.88	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $338.84 / $870.96	Professional	TC	$218.78	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $380.19 / $467.74	Professional		$239.88	$380.19	$467.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $154.88 / $169.82	Professional	26	$81.28	$154.88	$169.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $141.25 / $316.23	Professional	TC	$141.25	$141.25	$316.23
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $575.44	Professional		$446.68	$446.68	$575.44
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $134.90 / $177.83	Professional	26	$128.82	$134.90	$177.83
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $309.03 / $398.11	Professional	TC	$309.03	$309.03	$398.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $562.34 / $1,230.27	Professional		$407.38	$562.34	$1,230.27
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $144.54 / $275.42	Professional	26	$138.04	$144.54	$275.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $389.05 / $1,122.02	Professional	TC	$263.03	$389.05	$1,122.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $645.65 / $1,318.26	Professional		$323.59	$645.65	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $138.04 / $223.87	Professional	26	$81.28	$138.04	$223.87
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $457.09 / $1,122.02	Professional	TC	$218.78	$457.09	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $446.68 / $1,380.38	Professional		$323.59	$446.68	$1,380.38
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $144.54 / $173.78	Professional	26	$107.15	$144.54	$173.78
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $288.40 / $363.08	Professional	TC	$218.78	$288.40	$363.08
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $512.86 / $1,023.29	Professional		$295.12	$512.86	$1,023.29
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $128.82 / $229.09	Professional	26	$95.50	$128.82	$229.09
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $338.84 / $812.83	Professional	TC	$194.98	$338.84	$812.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $380.19 / $660.69	Professional		$346.74	$380.19	$660.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $131.83 / $190.55	Professional	26	$120.23	$131.83	$190.55
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $66.07 / $66.07 / $70.79	Professional	52	$66.07	$66.07	$70.79
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $389.05 / $1,000.00	Professional	TC	$323.59	$389.05	$1,000.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $2,089.30	Professional		$446.68	$446.68	$2,089.30
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $134.90 / $177.83	Professional	26	$125.89	$134.90	$177.83
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $309.03 / $398.11	Professional	TC	$245.47	$309.03	$398.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $151.36 / $281.84	Facility	26	$109.65	$151.36	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $512.86 / $1,047.13	Professional		$338.84	$512.86	$1,047.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $151.36 / $263.03	Professional	26	$109.65	$151.36	$263.03
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $338.84 / $707.95	Professional	TC	$218.78	$338.84	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $478.63 / $776.25	Professional		$117.49	$478.63	$776.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $123.03	Facility	26	$107.15	$107.15	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $676.08 / $691.83	Professional		$316.23	$676.08	$691.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $107.15 / $123.03	Professional	26	$104.71	$107.15	$123.03
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $213.80 / $912.01	Professional	TC	$208.93	$213.80	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $478.63 / $1,202.26	Professional		$302.00	$478.63	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $229.09	Professional	26	$91.20	$125.89	$229.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $309.03 / $1,023.29	Professional	TC	$194.98	$309.03	$1,023.29

Pennsylvania rates for HCPCS 70553