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 $60.26 / $120.23 / $223.87	Facility	26	$60.26	$120.23	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $691.83	Professional		$190.55	$281.84	$691.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $87.10 / $204.17	Professional	26	$56.23	$87.10	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $208.93 / $549.54	Professional	TC	$134.90	$208.93	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $69.18 / $93.33	Professional	26	$39.81	$69.18	$93.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $269.15 / $331.13	Professional		$257.04	$269.15	$331.13
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $72.44 / $93.33	Professional	26	$69.18	$72.44	$93.33
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $75.86 / $158.49	Professional	26	$58.88	$75.86	$158.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $177.83 / $562.34	Professional	TC	$134.90	$177.83	$562.34
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $380.19 / $645.65	Professional		$204.17	$380.19	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $79.43 / $131.83	Professional	26	$45.71	$79.43	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $269.15 / $501.19	Professional	TC	$141.25	$269.15	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $269.15 / $331.13	Professional		$204.17	$269.15	$331.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $77.62 / $93.33	Professional	26	$57.54	$77.62	$93.33
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $190.55 / $239.88	Professional	TC	$144.54	$190.55	$239.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $562.34	Professional		$199.53	$302.00	$562.34
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $72.44 / $125.89	Professional	26	$56.23	$72.44	$125.89
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $218.78 / $426.58	Professional	TC	$141.25	$218.78	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $234.42 / $263.03	Professional		$229.09	$234.42	$263.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $69.18 / $89.13	Professional	26	$66.07	$69.18	$89.13
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	TC	$208.93	$208.93	$208.93
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $331.13 / $1,778.28	Professional		$218.78	$331.13	$1,778.28
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $95.50	Professional	26	$72.44	$72.44	$95.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $151.36	Facility	26	$60.26	$83.18	$151.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $316.23 / $645.65	Professional		$199.53	$316.23	$645.65
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $77.62 / $144.54	Professional	26	$56.23	$77.62	$144.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $223.87 / $501.19	Professional	TC	$141.25	$223.87	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $302.00 / $562.34	Professional		$64.57	$302.00	$562.34
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $74.13	Facility	26	$58.88	$58.88	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $257.04 / $416.87	Professional		$33.88	$257.04	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $58.88 / $74.13	Professional	26	$57.54	$58.88	$74.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $338.84	Professional	TC	$134.90	$138.04	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $524.81	Professional		$181.97	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $134.90	Professional	26	$53.70	$74.13	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $208.93 / $426.58	Professional	TC	$134.90	$208.93	$426.58

Pennsylvania rates for HCPCS 71270