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 $7.08 / $14.79 / $28.18	Facility	26	$7.08	$14.79	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $26.92 / $57.54	Professional		$19.05	$26.92	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $11.22 / $25.70	Professional	26	$6.03	$11.22	$25.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $16.98 / $33.88	Professional	TC	$12.88	$16.98	$33.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional		$19.05	$19.05	$19.05
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $9.33 / $11.48	Professional	26	$6.17	$9.33	$11.48
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $11.48	Professional	26	$9.55	$9.55	$11.48
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $28.18 / $52.48	Professional		$23.44	$28.18	$52.48
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $16.98	Professional	26	$7.76	$9.77	$16.98
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $18.20 / $33.11	Professional	TC	$15.85	$18.20	$33.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $45.71	Professional		$19.05	$28.18	$45.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $9.33 / $15.14	Professional	26	$5.89	$9.33	$15.14
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $19.05 / $31.62	Professional	TC	$12.88	$19.05	$31.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $33.11 / $40.74	Professional		$24.55	$33.11	$40.74
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.47 / $12.59	Professional	26	$7.76	$10.47	$12.59
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $21.88 / $28.18	Professional	TC	$16.60	$21.88	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $26.92 / $48.98	Professional		$18.20	$26.92	$48.98
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.91 / $15.85	Professional	26	$6.17	$8.91	$15.85
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $17.78 / $32.36	Professional	TC	$11.75	$17.78	$32.36
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $8.71 / $16.98	Professional	26	$8.51	$8.71	$16.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.30	Professional	26	$9.55	$9.55	$12.30
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $11.48 / $25.70	Facility	26	$6.61	$11.48	$25.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.92 / $54.95	Professional		$19.95	$26.92	$54.95
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.71 / $17.38	Professional	26	$6.03	$8.71	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $18.20 / $36.31	Professional	TC	$12.88	$18.20	$36.31
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $31.62 / $48.98	Professional		$8.71	$31.62	$48.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $7.59 / $8.13	Facility	26	$7.59	$7.59	$8.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $18.62 / $25.12	Professional		$13.18	$18.62	$25.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $7.59 / $8.13	Professional	26	$7.41	$7.59	$8.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $16.22 / $17.78	Professional	TC	$15.85	$16.22	$17.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $25.12 / $45.71	Professional		$19.50	$25.12	$45.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.12 / $18.62	Professional	26	$6.31	$9.12	$18.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $17.38 / $30.90	Professional	TC	$12.88	$17.38	$30.90

Pennsylvania rates for HCPCS 72020