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 $52.48 / $104.71 / $204.17	Facility	26	$52.48	$104.71	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $281.84 / $977.24	Professional		$158.49	$281.84	$977.24
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $72.44 / $204.17	Professional	26	$51.29	$72.44	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $190.55 / $446.68	Professional	TC	$112.20	$190.55	$446.68
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $112.20 / $229.09	Professional		$56.23	$112.20	$229.09
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $79.43 / $85.11	Professional	26	$44.67	$79.43	$85.11
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $691.83	Professional		$107.15	$107.15	$691.83
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $69.18 / $91.20	Professional	26	$64.57	$69.18	$91.20
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $204.17	Professional	TC	$158.49	$158.49	$204.17
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $407.38	Professional		$169.82	$169.82	$407.38
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $77.62 / $144.54	Professional	26	$54.95	$77.62	$144.54
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $194.98 / $575.44	Professional	TC	$109.65	$194.98	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $537.03	Professional		$169.82	$309.03	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $72.44 / $120.23	Professional	26	$42.66	$72.44	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $218.78 / $398.11	Professional	TC	$117.49	$218.78	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $229.09 / $281.84	Professional		$173.78	$229.09	$281.84
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $72.44 / $87.10	Professional	26	$54.95	$72.44	$87.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $154.88 / $194.98	Professional	TC	$117.49	$154.88	$194.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $245.47 / $467.74	Professional		$173.78	$245.47	$467.74
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $69.18 / $117.49	Professional	26	$50.12	$69.18	$117.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $181.97 / $346.74	Professional	TC	$114.82	$181.97	$346.74
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Facility	26	$1,174.90	$1,174.90	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $213.80 / $251.19	Professional		$194.98	$213.80	$251.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $67.61 / $95.50	Professional	26	$61.66	$67.61	$95.50
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $208.93 / $295.12	Professional	TC	$204.17	$208.93	$295.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $229.09 / $288.40	Professional		$194.98	$229.09	$288.40
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $69.18 / $93.33	Professional	26	$64.57	$69.18	$93.33
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $158.49 / $204.17	Professional	TC	$131.83	$158.49	$204.17
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $52.48 / $75.86 / $138.04	Facility	26	$52.48	$75.86	$138.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $524.81	Professional		$169.82	$275.42	$524.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $131.83	Professional	26	$53.70	$72.44	$131.83
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $190.55 / $407.38	Professional	TC	$117.49	$190.55	$407.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $251.19 / $467.74	Professional		$60.26	$251.19	$467.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $66.07	Facility	26	$54.95	$54.95	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $181.97 / $309.03	Professional		$58.88	$181.97	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $54.95 / $56.23	Professional	26	$53.70	$54.95	$56.23
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $112.20 / $123.03	Professional	TC	$109.65	$112.20	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $457.09	Professional		$154.88	$257.04	$457.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $69.18 / $123.03	Professional	26	$48.98	$69.18	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $173.78 / $371.54	Professional	TC	$104.71	$173.78	$371.54

Pennsylvania rates for HCPCS 71260