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 Typical Low / Median / Typical High $63.10 / $194.98 / $398.11	Facility		$63.10	$194.98	$398.11
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $16.60 / $39.81	Facility	26	$9.55	$16.60	$39.81
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $120.23 / $338.84	Facility	TC	$32.36	$120.23	$338.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $53.70 / $154.88	Professional		$33.11	$53.70	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $37.15	Professional	26	$10.00	$16.98	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $38.02 / $74.13	Professional	TC	$23.44	$38.02	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $36.31 / $53.70	Professional		$26.92	$36.31	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.59 / $19.95	Professional	26	$8.51	$12.59	$19.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $23.44 / $43.65	Professional	TC	$19.50	$23.44	$43.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility		$1,047.13	$1,047.13	$1,047.13
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Facility	TC	$489.78	$489.78	$489.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $48.98 / $72.44	Professional		$38.02	$48.98	$72.44
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $16.22	Professional	26	$13.49	$13.49	$16.22
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $8,511.38 / $77,624.71	Facility		$24.55	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $109.65 / $154.88 / $218.78	Facility	TC	$109.65	$154.88	$218.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $43.65 / $75.86	Professional		$38.02	$43.65	$75.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $24.55	Professional	26	$10.72	$14.13	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $30.20 / $51.29	Professional	TC	$27.54	$30.20	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $208.93	Facility		$36.31	$79.43	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $43.65 / $74.13	Professional		$28.84	$43.65	$74.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.18 / $21.88	Professional	26	$8.51	$13.18	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $52.48	Professional	TC	$20.89	$30.90	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $67.61	Professional		$40.74	$54.95	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $16.98	Professional	26	$10.47	$14.13	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $40.74 / $51.29	Professional	TC	$30.90	$40.74	$51.29
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	TC	$36.31	$36.31	$36.31
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $42.66 / $77.62	Professional		$26.30	$42.66	$77.62
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $22.39	Professional	26	$8.91	$12.59	$22.39
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.90 / $56.23	Professional	TC	$17.78	$30.90	$56.23
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $186.21 / $309.03	Facility		$109.65	$186.21	$309.03
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $131.83 / $263.03 / $426.58	Facility	TC	$131.83	$263.03	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $47.86 / $53.70	Professional		$40.74	$47.86	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.59 / $18.20	Professional	26	$10.96	$12.59	$18.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $41.69 / $50.12	Professional	TC	$31.62	$41.69	$50.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,047.13 / $2,089.30	Facility		$691.83	$1,047.13	$2,089.30
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Facility	TC	$489.78	$489.78	$489.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $48.98 / $63.10	Professional		$43.65	$48.98	$63.10
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $17.78	Professional	26	$13.49	$13.49	$17.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $123.03 / $426.58	Facility		$36.31	$123.03	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $13.49 / $27.54	Facility	26	$9.55	$13.49	$27.54
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.12 / $41.69 / $186.21	Facility	TC	$25.12	$41.69	$186.21
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $44.67 / $83.18	Professional		$32.36	$44.67	$83.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $32.36 / $58.88	Professional	TC	$22.39	$32.36	$58.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $141.25 / $194.98	Facility		$134.90	$141.25	$194.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $46.77 / $77.62	Professional		$11.75	$46.77	$77.62
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $25.12 / $70.79	Facility		$19.50	$25.12	$70.79
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $10.72 / $12.02	Facility	26	$10.72	$10.72	$12.02
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $24.55 / $27.54	Facility	TC	$24.55	$24.55	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $27.54 / $70.79	Professional		$21.88	$27.54	$70.79
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.72 / $12.02	Professional	26	$10.23	$10.72	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $27.54 / $30.20	Professional	TC	$24.55	$27.54	$30.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $295.12	Facility		$154.88	$257.04	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $79.43	Professional		$30.20	$40.74	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $26.92	Professional	26	$8.91	$12.59	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $29.51 / $57.54	Professional	TC	$21.38	$29.51	$57.54

Pennsylvania rates for HCPCS 72040