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 $123.03 / $245.47 / $467.74	Facility	26	$123.03	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $501.19 / $1,445.44	Professional		$346.74	$501.19	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $151.36 / $302.00	Professional	26	$85.11	$151.36	$302.00
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $691.83	Professional	TC	$257.04	$338.84	$691.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $588.84	Professional		$478.63	$478.63	$588.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $870.96	Professional		$323.59	$467.74	$870.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $112.20 / $208.93	Professional	26	$85.11	$112.20	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $354.81 / $707.95	Professional	TC	$239.88	$354.81	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $575.44 / $933.25	Professional		$338.84	$575.44	$933.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $177.83	Professional	26	$64.57	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $457.09 / $758.58	Professional	TC	$251.19	$457.09	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $575.44	Professional		$346.74	$467.74	$575.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $134.90	Professional	26	$83.18	$112.20	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $346.74 / $436.52	Professional	TC	$263.03	$346.74	$436.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $436.52 / $794.33	Professional		$346.74	$436.52	$794.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $177.83	Professional	26	$72.44	$100.00	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $660.69	Professional	TC	$257.04	$338.84	$660.69
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $676.08 / $758.58	Professional		$389.05	$676.08	$758.58
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $95.50 / $144.54	Professional	26	$93.33	$95.50	$144.54
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $467.74 / $691.83	Professional	TC	$446.68	$467.74	$691.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $602.56	Professional		$389.05	$478.63	$602.56
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $190.55 / $416.87	Facility	26	$123.03	$190.55	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $524.81 / $1,071.52	Professional		$363.08	$524.81	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $245.47	Professional	26	$85.11	$138.04	$245.47
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $371.54 / $812.83	Professional	TC	$257.04	$371.54	$812.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $707.95 / $977.24	Professional		$602.56	$707.95	$977.24
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $95.50	Facility	26	$85.11	$85.11	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $331.13 / $501.19	Professional		$104.71	$331.13	$501.19
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $85.11 / $95.50	Professional	26	$81.28	$85.11	$95.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $251.19 / $407.38	Professional	TC	$245.47	$251.19	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $457.09 / $794.33	Professional		$295.12	$457.09	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $100.00 / $177.83	Professional	26	$70.79	$100.00	$177.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $354.81 / $660.69	Professional	TC	$229.09	$354.81	$660.69

Pennsylvania rates for HCPCS 71555