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 $10.23 / $19.95 / $38.02	Facility	26	$10.23	$19.95	$38.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $41.69 / $114.82	Professional		$30.90	$41.69	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $28.18	Professional	26	$7.94	$11.48	$28.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.20 / $56.23	Professional	TC	$22.91	$30.20	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $44.67 / $69.18	Professional		$39.81	$44.67	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.49 / $25.70	Professional	26	$10.47	$13.49	$25.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $30.90 / $51.29	Professional	TC	$29.51	$30.90	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $75.86	Professional		$30.90	$45.71	$75.86
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 $22.39 / $33.11 / $57.54	Professional	TC	$22.39	$33.11	$57.54
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 $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 $32.36 / $42.66 / $53.70	Professional	TC	$32.36	$42.66	$53.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $44.67 / $81.28	Professional		$29.51	$44.67	$81.28
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 $19.95 / $33.11 / $61.66	Professional	TC	$19.95	$33.11	$61.66
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $50.12 / $52.48	Professional		$45.71	$50.12	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.59 / $15.49	Professional	26	$11.48	$12.59	$15.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $15.49 / $37.15	Facility	26	$9.77	$15.49	$37.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $42.66 / $91.20	Professional		$33.11	$42.66	$91.20
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $23.44	Professional	26	$7.94	$11.48	$23.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $67.61	Professional	TC	$22.91	$31.62	$67.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $63.10 / $89.13	Professional		$51.29	$63.10	$89.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.23 / $10.23 / $12.02	Facility	26	$10.23	$10.23	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $26.30 / $75.86	Professional		$15.14	$26.30	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.23 / $12.02	Professional	26	$10.00	$10.23	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $29.51 / $32.36	Professional	TC	$26.92	$29.51	$32.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $79.43	Professional		$31.62	$42.66	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $25.12	Professional	26	$8.91	$12.59	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.90 / $53.70	Professional	TC	$22.39	$30.90	$53.70

Pennsylvania rates for HCPCS 71130