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 $11.48 / $22.39 / $43.65	Facility	26	$11.48	$22.39	$43.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $43.65 / $128.82	Professional		$16.98	$43.65	$128.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.50 / $43.65	Professional	26	$10.96	$19.50	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $66.07	Professional	TC	$22.91	$36.31	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $77.62	Professional		$32.36	$50.12	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $18.62 / $20.42	Professional	26	$12.59	$18.62	$20.42
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $34.67 / $43.65	Professional	TC	$14.13	$34.67	$43.65
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $15.85 / $20.42	Professional	26	$15.85	$15.85	$20.42
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $47.86 / $87.10	Professional		$40.74	$47.86	$87.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $30.90	Professional	26	$12.88	$16.60	$30.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $30.20 / $52.48	Professional	TC	$28.18	$30.20	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $77.62	Professional		$31.62	$47.86	$77.62
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $16.22 / $25.70	Professional	26	$10.23	$16.22	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $54.95	Professional	TC	$20.89	$32.36	$54.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $57.54 / $70.79	Professional		$42.66	$57.54	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.38 / $20.89	Professional	26	$12.88	$17.38	$20.89
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $39.81 / $50.12	Professional	TC	$30.20	$39.81	$50.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $45.71 / $81.28	Professional		$30.20	$45.71	$81.28
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.49 / $27.54	Professional	26	$10.96	$15.49	$27.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $57.54	Professional	TC	$19.05	$30.90	$57.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $50.12 / $56.23	Professional		$46.77	$50.12	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $14.79 / $19.50	Professional	26	$13.18	$14.79	$19.50
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $36.31 / $50.12	Professional	TC	$35.48	$36.31	$50.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $15.85 / $20.42	Professional	26	$15.85	$15.85	$20.42
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $15.85 / $29.51	Facility	26	$11.48	$15.85	$29.51
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $89.13	Professional		$34.67	$47.86	$89.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.14 / $27.54	Professional	26	$10.72	$15.14	$27.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.11 / $60.26	Professional	TC	$22.91	$33.11	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $52.48 / $85.11	Professional		$23.99	$52.48	$85.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $12.59 / $14.45	Facility	26	$12.59	$12.59	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $39.81 / $95.50	Professional		$12.02	$39.81	$95.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.59 / $14.45	Professional	26	$12.30	$12.59	$14.45
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $28.18 / $30.90	Professional	TC	$25.70	$28.18	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $81.28	Professional		$33.11	$44.67	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $15.14 / $28.84	Professional	26	$10.47	$15.14	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $58.88	Professional	TC	$21.88	$30.20	$58.88

Pennsylvania rates for HCPCS 71101