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 $46.77 / $158.49 / $363.08	Facility		$46.77	$158.49	$363.08
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $19.05 / $37.15	Facility	26	$9.55	$19.05	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $35.48 / $102.33	Professional		$14.79	$35.48	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $17.38 / $37.15	Professional	26	$8.91	$17.38	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $29.51 / $58.88	Professional	TC	$19.95	$29.51	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional		$33.11	$33.11	$33.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.59 / $16.60	Professional	26	$7.08	$12.59	$16.60
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $25.12 / $45.71	Professional	TC	$16.60	$25.12	$45.71
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $100.00 / $1,047.13	Facility		$39.81	$100.00	$1,047.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $16.98	Professional	26	$13.49	$13.49	$16.98
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $8,511.38 / $77,624.71	Facility		$134.90	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $41.69 / $72.44	Professional		$35.48	$41.69	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.49 / $24.55	Professional	26	$10.72	$13.49	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $27.54 / $47.86	Professional	TC	$24.55	$27.54	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $72.44 / $208.93	Facility		$32.36	$72.44	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $40.74 / $67.61	Professional		$27.54	$40.74	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.18 / $21.38	Professional	26	$8.32	$13.18	$21.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.18 / $47.86	Professional	TC	$18.20	$28.18	$47.86
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $61.66	Professional		$37.15	$50.12	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $16.98	Professional	26	$10.47	$14.13	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $35.48 / $44.67	Professional	TC	$26.92	$35.48	$44.67
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $70.79	Professional		$25.70	$38.90	$70.79
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $22.39	Professional	26	$8.91	$12.59	$22.39
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $26.92 / $51.29	Professional	TC	$16.22	$26.92	$51.29
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $177.83 / $275.42	Facility		$89.13	$177.83	$275.42
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $44.67 / $46.77	Professional		$38.90	$44.67	$46.77
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.59 / $17.78	Professional	26	$11.48	$12.59	$17.78
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	TC	$31.62	$31.62	$31.62
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $467.74	Facility		$69.18	$89.13	$467.74
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $16.98 / $75.86	Professional	26	$11.22	$16.98	$75.86
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $95.50 / $436.52	Facility		$33.88	$95.50	$436.52
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $31.62	Facility	26	$9.55	$14.13	$31.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $41.69 / $79.43	Professional		$29.51	$41.69	$79.43
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $22.91	Professional	26	$8.91	$12.59	$22.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $29.51 / $54.95	Professional	TC	$19.95	$29.51	$54.95
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $138.04 / $190.55	Facility		$131.83	$138.04	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $44.67 / $70.79	Professional		$19.05	$44.67	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.20 / $23.44 / $69.18	Facility		$18.20	$23.44	$69.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $10.72 / $12.02	Facility	26	$10.72	$10.72	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $23.44 / $39.81	Professional		$19.50	$23.44	$39.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.72 / $10.96	Professional	26	$10.23	$10.72	$10.96
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $24.55 / $27.54	Professional	TC	$21.88	$24.55	$27.54
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 $28.18 / $37.15 / $70.79	Professional		$28.18	$37.15	$70.79
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.59 / $28.84	Professional	26	$8.71	$12.59	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $52.48	Professional	TC	$19.05	$26.30	$52.48

Pennsylvania rates for HCPCS 71100