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 $12.02 / $23.99 / $46.77	Facility	26	$12.02	$23.99	$46.77
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $74.13 / $134.90	Facility	TC	$26.92	$74.13	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $104.71	Professional		$32.36	$41.69	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $31.62	Professional	26	$10.72	$14.45	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $27.54 / $52.48	Professional	TC	$20.89	$27.54	$52.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Professional	26	$8.71	$8.71	$8.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $109.65 / $154.88 / $223.87	Facility	TC	$109.65	$154.88	$223.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $42.66 / $70.79	Professional		$40.74	$42.66	$70.79
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.49 / $26.30	Professional	26	$13.18	$13.49	$26.30
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $28.84 / $48.98	Professional	TC	$27.54	$28.84	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $77.62	Professional		$30.90	$47.86	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $26.92	Professional	26	$10.00	$16.98	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $53.70	Professional	TC	$20.89	$31.62	$53.70
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $57.54 / $69.18	Professional		$42.66	$57.54	$69.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.38 / $20.42	Professional	26	$12.88	$17.38	$20.42
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.90 / $48.98	Professional	TC	$29.51	$38.90	$48.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $43.65 / $81.28	Professional		$30.20	$43.65	$81.28
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.14 / $26.92	Professional	26	$11.22	$15.14	$26.92
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $29.51 / $54.95	Professional	TC	$19.05	$29.51	$54.95
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $70.79 / $120.23 / $691.83	Facility	TC	$70.79	$120.23	$691.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $48.98 / $51.29	Professional		$43.65	$48.98	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.79 / $16.60	Professional	26	$14.45	$14.79	$16.60
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $18.62 / $45.71	Facility	26	$12.02	$18.62	$45.71
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $41.69 / $89.13	Facility	TC	$26.92	$41.69	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $42.66 / $89.13	Professional		$32.36	$42.66	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.49 / $27.54	Professional	26	$10.72	$13.49	$27.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $60.26	Professional	TC	$21.38	$29.51	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $46.77 / $75.86	Professional		$13.49	$46.77	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $15.49	Facility	26	$12.88	$12.88	$15.49
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $27.54 / $27.54	Facility	TC	$25.70	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $39.81 / $114.82	Professional		$21.88	$39.81	$114.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $15.49	Professional	26	$12.59	$12.88	$15.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $27.54 / $30.90	Professional	TC	$25.70	$27.54	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $43.65 / $83.18	Professional		$33.11	$43.65	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.49 / $27.54	Professional	26	$10.96	$15.49	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $51.29	Professional	TC	$21.38	$29.51	$51.29

Pennsylvania rates for HCPCS 71047