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 $12.30 / $25.70 / $44.67	Facility	26	$12.30	$25.70	$44.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $194.98	Professional		$34.67	$48.98	$194.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $20.42 / $44.67	Professional	26	$10.96	$20.42	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $67.61	Professional	TC	$22.91	$31.62	$67.61
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional	26	$19.50	$19.50	$19.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $43.65 / $74.13	Professional		$42.66	$43.65	$74.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.13 / $26.92	Professional	26	$13.80	$14.13	$26.92
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $29.51 / $50.12	Professional	TC	$28.84	$29.51	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $50.12 / $81.28	Professional		$33.88	$50.12	$81.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $16.22 / $27.54	Professional	26	$10.47	$16.22	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $34.67 / $56.23	Professional	TC	$22.39	$34.67	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $72.44	Professional		$43.65	$58.88	$72.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $18.20 / $21.88	Professional	26	$13.49	$18.20	$21.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $40.74 / $51.29	Professional	TC	$30.90	$40.74	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $47.86 / $87.10	Professional		$33.88	$47.86	$87.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.49 / $28.18	Professional	26	$10.96	$15.49	$28.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $58.88	Professional	TC	$21.88	$32.36	$58.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $53.70 / $60.26	Professional		$47.86	$53.70	$60.26
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $15.85 / $22.39	Professional	26	$14.45	$15.85	$22.39
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $53.70	Professional	TC	$36.31	$36.31	$53.70
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $20.42 / $39.81	Facility	26	$12.30	$20.42	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $97.72	Professional		$34.67	$48.98	$97.72
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.85 / $30.90	Professional	26	$10.96	$15.85	$30.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.11 / $66.07	Professional	TC	$22.91	$33.11	$66.07
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $58.88 / $87.10	Professional		$24.55	$58.88	$87.10
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $14.45 / $14.45	Facility	26	$13.49	$14.45	$14.45
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $33.11 / $81.28	Professional		$20.42	$33.11	$81.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.49 / $14.45	Professional	26	$13.18	$13.49	$14.45
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.84 / $31.62	Professional	TC	$28.18	$28.84	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $85.11	Professional		$34.67	$46.77	$85.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.85 / $33.11	Professional	26	$11.22	$15.85	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.90 / $53.70	Professional	TC	$22.91	$30.90	$53.70

Pennsylvania rates for HCPCS 71110