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 Typical Low / Median / Typical High $66.07 / $181.97 / $416.87	Facility		$66.07	$181.97	$416.87
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $18.62 / $35.48	Facility	26	$9.33	$18.62	$35.48
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $120.23 / $323.59	Facility	TC	$25.70	$120.23	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $44.67 / $131.83	Professional		$26.92	$44.67	$131.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.80 / $38.90	Professional	26	$9.33	$13.80	$38.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $30.90 / $60.26	Professional	TC	$18.20	$30.90	$60.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.90 / $50.12	Professional		$22.39	$30.90	$50.12
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.80 / $19.50	Professional	26	$8.32	$13.80	$19.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $22.91 / $34.67	Professional	TC	$15.14	$22.91	$34.67
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $2,041.74 / $5,495.41	Facility		$47.86	$2,041.74	$5,495.41
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $954.99 / $954.99 / $954.99	Facility	TC	$954.99	$954.99	$954.99
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $41.69 / $47.86	Professional		$39.81	$41.69	$47.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $16.60	Professional	26	$12.88	$12.88	$16.60
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $33.11	Professional	TC	$28.84	$28.84	$33.11
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $173.78	Facility	TC	$87.10	$123.03	$173.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $56.23	Professional		$32.36	$38.02	$56.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.49 / $20.89	Professional	26	$10.47	$13.49	$20.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $26.92 / $38.90	Professional	TC	$22.39	$26.92	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $64.57 / $223.87	Facility		$43.65	$64.57	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $61.66	Professional		$24.55	$38.02	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $13.18 / $20.89	Professional	26	$7.94	$13.18	$20.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $25.12 / $42.66	Professional	TC	$16.60	$25.12	$42.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $56.23	Professional		$33.88	$45.71	$56.23
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.49 / $16.22	Professional	26	$10.23	$13.49	$16.22
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $31.62 / $39.81	Professional	TC	$23.99	$31.62	$39.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $34.67 / $64.57	Professional		$23.44	$34.67	$64.57
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $21.38	Professional	26	$8.71	$11.75	$21.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $23.99 / $44.67	Professional	TC	$14.79	$23.99	$44.67
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $186.21 / $323.59	Facility		$69.18	$186.21	$323.59
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $239.88 / $407.38	Facility	TC	$123.03	$239.88	$407.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.90 / $47.86	Professional		$34.67	$38.90	$47.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.30 / $18.20	Professional	26	$10.96	$12.30	$18.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $28.18 / $39.81	Professional	TC	$25.70	$28.18	$39.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $1,995.26 / $4,365.16	Facility		$67.61	$1,995.26	$4,365.16
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $47.86 / $1,202.26 / $2,570.40	Facility	TC	$47.86	$1,202.26	$2,570.40
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $48.98	Professional		$38.02	$41.69	$48.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.88 / $17.38	Professional	26	$12.30	$12.88	$17.38
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $34.67	Professional	TC	$28.84	$28.84	$34.67
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $181.97 / $457.09	Facility		$38.02	$181.97	$457.09
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $12.88 / $24.55	Facility	26	$9.33	$12.88	$24.55
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $33.11 / $257.04	Facility	TC	$19.95	$33.11	$257.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $37.15 / $69.18	Professional		$26.92	$37.15	$69.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $21.88	Professional	26	$8.71	$11.75	$21.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $46.77	Professional	TC	$18.20	$25.12	$46.77
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $38.02 / $63.10	Professional		$10.72	$38.02	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $23.99 / $69.18	Facility		$19.05	$23.99	$69.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.23 / $12.02 / $12.02	Facility	26	$10.23	$12.02	$12.02
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $20.42 / $21.88	Facility	TC	$20.42	$20.42	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $23.99 / $54.95	Professional		$15.14	$23.99	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.23 / $12.02	Professional	26	$10.00	$10.23	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $21.88 / $24.55	Professional	TC	$20.42	$21.88	$24.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $295.12	Facility		$154.88	$257.04	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $35.48 / $75.86	Professional		$26.30	$35.48	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.30 / $25.70	Professional	26	$8.71	$12.30	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $48.98	Professional	TC	$16.98	$23.99	$48.98

Pennsylvania rates for HCPCS 71046