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 $112.20 / $229.09 / $426.58	Facility	26	$112.20	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $616.60 / $2,754.23	Professional		$426.58	$616.60	$2,754.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $177.83 / $338.84	Professional	26	$107.15	$177.83	$338.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $416.87 / $870.96	Professional	TC	$295.12	$416.87	$870.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $758.58	Professional		$588.84	$588.84	$758.58
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $131.83 / $169.82	Professional	26	$131.83	$131.83	$169.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $478.63 / $1,348.96	Professional		$457.09	$478.63	$1,348.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $141.25 / $263.03	Professional	26	$107.15	$141.25	$263.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $363.08 / $1,096.48	Professional	TC	$354.81	$363.08	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $870.96 / $1,513.56	Professional		$478.63	$870.96	$1,513.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $131.83 / $218.78	Professional	26	$81.28	$131.83	$218.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $691.83 / $1,230.27	Professional	TC	$371.54	$691.83	$1,230.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $630.96 / $776.25	Professional		$478.63	$630.96	$776.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $169.82	Professional	26	$104.71	$141.25	$169.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $489.78 / $616.60	Professional	TC	$371.54	$489.78	$616.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $645.65 / $1,071.52	Professional		$446.68	$645.65	$1,071.52
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $223.87	Professional	26	$91.20	$125.89	$223.87
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $501.19 / $933.25	Professional	TC	$346.74	$501.19	$933.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $630.96 / $1,047.13	Professional		$537.03	$630.96	$1,047.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $131.83 / $239.88	Professional	26	$120.23	$131.83	$239.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $588.84 / $758.58	Professional		$524.81	$588.84	$758.58
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $131.83 / $169.82	Professional	26	$120.23	$131.83	$169.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $154.88 / $371.54	Facility	26	$107.15	$154.88	$371.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $1,288.25	Professional		$416.87	$602.56	$1,288.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $151.36 / $269.15	Professional	26	$107.15	$151.36	$269.15
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $457.09 / $1,023.29	Professional	TC	$295.12	$457.09	$1,023.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $831.76 / $1,445.44	Professional		$707.95	$831.76	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $120.23	Facility	26	$107.15	$107.15	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $446.68 / $912.01	Professional		$436.52	$446.68	$912.01
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $107.15 / $120.23	Professional	26	$102.33	$107.15	$120.23
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $346.74 / $912.01	Professional	TC	$338.84	$346.74	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $691.83 / $1,288.25	Professional		$446.68	$691.83	$1,288.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $123.03 / $239.88	Professional	26	$91.20	$123.03	$239.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $549.54 / $1,122.02	Professional	TC	$363.08	$549.54	$1,122.02

Pennsylvania rates for HCPCS 71552