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 $12.88 / $26.92 / $54.95	Facility	26	$12.88	$26.92	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $89.13 / $288.40	Professional		$52.48	$89.13	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $27.54 / $60.26	Professional	26	$12.30	$27.54	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $52.48 / $123.03	Professional	TC	$37.15	$52.48	$123.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $85.11	Professional		$41.69	$48.98	$85.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.38 / $23.44	Professional	26	$20.89	$21.38	$23.44
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $44.67 / $44.67	Professional	TC	$42.66	$44.67	$44.67
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $128.82	Professional		$77.62	$77.62	$128.82
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $17.38 / $22.39	Professional	26	$17.38	$17.38	$22.39
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $72.44 / $104.71	Professional		$60.26	$72.44	$104.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $21.88 / $42.66	Professional	26	$14.45	$21.88	$42.66
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $48.98 / $79.43	Professional	TC	$45.71	$48.98	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $117.49	Professional		$48.98	$74.13	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $33.88	Professional	26	$12.02	$20.89	$33.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $54.95 / $89.13	Professional	TC	$34.67	$54.95	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $107.15	Professional		$64.57	$87.10	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.50 / $23.44	Professional	26	$14.45	$19.50	$23.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $66.07 / $83.18	Professional	TC	$50.12	$66.07	$83.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $128.82	Professional		$47.86	$70.79	$128.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $31.62	Professional	26	$14.13	$19.05	$31.62
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $52.48 / $95.50	Professional	TC	$33.11	$52.48	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $75.86 / $79.43	Professional		$67.61	$75.86	$79.43
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.60 / $24.55	Professional	26	$14.79	$16.60	$24.55
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $83.18 / $85.11	Professional	TC	$57.54	$83.18	$85.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $95.50	Professional		$77.62	$77.62	$95.50
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $17.38 / $22.39	Professional	26	$17.38	$17.38	$22.39
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $19.50 / $41.69	Facility	26	$12.59	$19.50	$41.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $138.04	Professional		$51.29	$72.44	$138.04
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $17.78 / $33.88	Professional	26	$12.02	$17.78	$33.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $53.70 / $102.33	Professional	TC	$38.02	$53.70	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $81.28 / $125.89	Professional		$16.22	$81.28	$125.89
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $19.50 / $19.50	Facility	26	$14.13	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $40.74 / $79.43	Professional		$17.38	$40.74	$79.43
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.79 / $19.50	Professional	26	$13.80	$14.79	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $50.12	Professional	TC	$44.67	$44.67	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $112.20	Professional		$50.12	$66.07	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $17.78 / $36.31	Professional	26	$13.18	$17.78	$36.31
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $48.98 / $83.18	Professional	TC	$37.15	$48.98	$83.18

Pennsylvania rates for HCPCS 72052