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 $11.75 / $20.42 / $50.12	Facility	26	$11.75	$20.42	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $74.13 / $208.93	Professional		$45.71	$74.13	$208.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.50 / $50.12	Professional	26	$12.02	$19.50	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $52.48 / $85.11	Professional	TC	$32.36	$52.48	$85.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $83.18	Professional		$37.15	$47.86	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $19.05 / $20.89	Professional	26	$10.72	$19.05	$20.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $44.67 / $63.10	Professional	TC	$31.62	$44.67	$63.10
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $66.07 / $75.86	Professional		$56.23	$66.07	$75.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $21.38	Professional	26	$16.22	$16.22	$21.38
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $60.26 / $107.15	Professional		$52.48	$60.26	$107.15
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.95 / $35.48	Professional	26	$13.18	$19.95	$35.48
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $42.66 / $74.13	Professional	TC	$38.90	$42.66	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $61.66 / $100.00	Professional		$40.74	$61.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $18.20 / $29.51	Professional	26	$10.47	$18.20	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $43.65 / $74.13	Professional	TC	$28.18	$43.65	$74.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $93.33	Professional		$57.54	$75.86	$93.33
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $21.38	Professional	26	$13.18	$17.78	$21.38
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $57.54 / $72.44	Professional	TC	$43.65	$57.54	$72.44
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $107.15	Professional		$38.90	$60.26	$107.15
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.98 / $28.18	Professional	26	$12.30	$16.98	$28.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $43.65 / $81.28	Professional	TC	$26.30	$43.65	$81.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $58.88 / $77.62	Professional		$57.54	$58.88	$77.62
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.45 / $21.88	Professional	26	$13.80	$14.45	$21.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $50.12 / $70.79	Professional	TC	$44.67	$50.12	$70.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $66.07 / $79.43	Professional		$56.23	$66.07	$79.43
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $21.38	Professional	26	$16.22	$16.22	$21.38
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $16.98 / $36.31	Facility	26	$11.75	$16.98	$36.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $60.26 / $114.82	Professional		$43.65	$60.26	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.22 / $30.90	Professional	26	$10.96	$16.22	$30.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $44.67 / $83.18	Professional	TC	$31.62	$44.67	$83.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $67.61 / $104.71	Professional		$14.79	$67.61	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $16.60	Facility	26	$12.88	$12.88	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $40.74 / $114.82	Professional		$13.80	$40.74	$114.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $16.60	Professional	26	$12.59	$12.88	$16.60
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $38.02 / $41.69	Professional	TC	$34.67	$38.02	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $56.23 / $95.50	Professional		$42.66	$56.23	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.85 / $31.62	Professional	26	$11.48	$15.85	$31.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $83.18	Professional	TC	$30.20	$40.74	$83.18

Pennsylvania rates for HCPCS 72050