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 $83.18 / $158.49 / $354.81	Facility	26	$83.18	$158.49	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $389.05 / $1,513.56	Professional		$251.19	$389.05	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $104.71 / $288.40	Professional	26	$77.62	$104.71	$288.40
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $229.09 / $562.34	Professional	TC	$162.18	$229.09	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $363.08	Professional		$186.21	$186.21	$363.08
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $100.00 / $134.90	Professional	26	$64.57	$100.00	$134.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $107.15 / $138.04	Professional	26	$102.33	$107.15	$138.04
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $89.13 / $173.78	Professional	26	$87.10	$89.13	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $478.63	Professional	TC	$173.78	$181.97	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $478.63 / $831.76	Professional		$275.42	$478.63	$831.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $181.97	Professional	26	$64.57	$107.15	$181.97
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $338.84 / $630.96	Professional	TC	$194.98	$338.84	$630.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $446.68	Professional		$269.15	$363.08	$446.68
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $138.04	Professional	26	$85.11	$112.20	$138.04
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $245.47 / $309.03	Professional	TC	$186.21	$245.47	$309.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $380.19 / $630.96	Professional		$263.03	$380.19	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $104.71 / $181.97	Professional	26	$77.62	$104.71	$181.97
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $275.42 / $467.74	Professional	TC	$181.97	$275.42	$467.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $346.74 / $363.08	Professional		$302.00	$346.74	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $102.33 / $147.91	Professional	26	$93.33	$102.33	$147.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Professional	TC	$295.12	$295.12	$295.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $107.15 / $138.04	Professional	26	$100.00	$107.15	$138.04
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $120.23 / $213.80	Facility	26	$83.18	$120.23	$213.80
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $371.54 / $724.44	Professional		$257.04	$371.54	$724.44
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $109.65 / $194.98	Professional	26	$81.28	$109.65	$194.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $251.19 / $512.86	Professional	TC	$169.82	$251.19	$512.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $323.59 / $691.83	Professional		$95.50	$323.59	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $100.00 / $100.00	Facility	26	$85.11	$100.00	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $309.03	Professional		$181.97	$251.19	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $100.00	Professional	26	$83.18	$85.11	$100.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $302.00	Professional	TC	$165.96	$169.82	$302.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $398.11 / $707.95	Professional		$239.88	$398.11	$707.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $100.00 / $181.97	Professional	26	$75.86	$100.00	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $275.42 / $549.54	Professional	TC	$181.97	$275.42	$549.54

Pennsylvania rates for HCPCS 71275