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 $48.98 / $89.13 / $186.21	Facility	26	$48.98	$89.13	$186.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $213.80 / $691.83	Professional		$125.89	$213.80	$691.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $58.88 / $173.78	Professional	26	$46.77	$58.88	$173.78
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $69.18 / $69.18 / $741.31	Professional	52	$69.18	$69.18	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $138.04 / $398.11	Professional	TC	$81.28	$138.04	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $158.49	Professional		$97.72	$97.72	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $72.44 / $79.43	Professional	26	$39.81	$72.44	$79.43
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $125.89	Professional	TC	$54.95	$54.95	$125.89
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $316.23	Professional		$138.04	$177.83	$316.23
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $63.10 / $77.62	Professional	26	$60.26	$63.10	$77.62
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $147.91	Professional	TC	$114.82	$114.82	$147.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $478.63 / $478.63	Professional		$204.17	$478.63	$478.63
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $74.13 / $125.89	Professional	26	$51.29	$74.13	$125.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $125.89 / $371.54	Professional	TC	$81.28	$125.89	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $257.04 / $436.52	Professional		$134.90	$257.04	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $66.07 / $107.15	Professional	26	$38.02	$66.07	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $165.96 / $323.59	Professional	TC	$87.10	$165.96	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $223.87	Professional		$138.04	$186.21	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $67.61 / $81.28	Professional	26	$50.12	$67.61	$81.28
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $120.23 / $173.78	Professional	TC	$89.13	$120.23	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $371.54	Professional		$138.04	$208.93	$371.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $61.66 / $107.15	Professional	26	$46.77	$61.66	$107.15
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $138.04 / $269.15	Professional	TC	$83.18	$138.04	$269.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $162.18 / $177.83	Professional		$147.91	$162.18	$177.83
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $87.10	Professional	26	$54.95	$61.66	$87.10
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $154.88 / $245.47	Professional	TC	$151.36	$154.88	$245.47
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $316.23	Professional		$138.04	$177.83	$316.23
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $63.10 / $107.15	Professional	26	$60.26	$63.10	$107.15
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $147.91 / $1,513.56	Professional	TC	$95.50	$147.91	$1,513.56
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $112.20	Facility	26	$48.98	$67.61	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $218.78 / $416.87	Professional		$134.90	$218.78	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $120.23	Professional	26	$48.98	$64.57	$120.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $138.04 / $288.40	Professional	TC	$85.11	$138.04	$288.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $199.53 / $371.54	Professional		$56.23	$199.53	$371.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $61.66	Facility	26	$51.29	$51.29	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $144.54 / $218.78	Professional		$57.54	$144.54	$218.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $51.29 / $61.66	Professional	26	$48.98	$51.29	$61.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $229.09	Professional	TC	$81.28	$81.28	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $204.17 / $380.19	Professional		$128.82	$204.17	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $63.10 / $114.82	Professional	26	$44.67	$63.10	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $128.82 / $302.00	Professional	TC	$83.18	$128.82	$302.00

Pennsylvania rates for HCPCS 71250