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 $14.13 / $28.84 / $52.48	Facility	26	$14.13	$28.84	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $213.80	Professional		$42.66	$60.26	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.70 / $48.98	Professional	26	$12.88	$25.70	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $40.74 / $74.13	Professional	TC	$28.84	$40.74	$74.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $23.99	Professional	26	$18.62	$18.62	$23.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $58.88 / $89.13	Professional		$51.29	$58.88	$89.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $19.05 / $36.31	Professional	26	$15.49	$19.05	$36.31
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $38.02 / $61.66	Professional	TC	$35.48	$38.02	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $97.72	Professional		$40.74	$61.66	$97.72
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $30.90	Professional	26	$12.02	$19.05	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $42.66 / $69.18	Professional	TC	$28.18	$42.66	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $87.10	Professional		$53.70	$70.79	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.42 / $24.55	Professional	26	$15.14	$20.42	$24.55
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $50.12 / $63.10	Professional	TC	$38.02	$50.12	$63.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $57.54 / $104.71	Professional		$38.90	$57.54	$104.71
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.78 / $32.36	Professional	26	$12.59	$17.78	$32.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $39.81 / $74.13	Professional	TC	$26.30	$39.81	$74.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $60.26 / $66.07	Professional		$57.54	$60.26	$66.07
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $18.20 / $22.91	Professional	26	$16.98	$18.20	$22.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $23.99	Professional	26	$18.20	$18.62	$23.99
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $22.39 / $43.65	Facility	26	$14.13	$22.39	$43.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $114.82	Professional		$42.66	$60.26	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $33.11	Professional	26	$12.88	$18.20	$33.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $42.66 / $81.28	Professional	TC	$28.84	$42.66	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $67.61 / $112.20	Professional		$28.18	$67.61	$112.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.14 / $15.14 / $17.38	Facility	26	$15.14	$15.14	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.88 / $79.43	Professional		$23.99	$33.88	$79.43
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.14 / $17.38	Professional	26	$14.79	$15.14	$17.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $35.48 / $38.90	Professional	TC	$34.67	$35.48	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $54.95 / $97.72	Professional		$42.66	$54.95	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $36.31	Professional	26	$12.88	$17.78	$36.31
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.02 / $66.07	Professional	TC	$28.84	$38.02	$66.07

Pennsylvania rates for HCPCS 71111