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 $9.55 / $19.05 / $35.48	Facility	26	$9.55	$19.05	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $53.70 / $117.49	Professional		$32.36	$53.70	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $17.38 / $36.31	Professional	26	$8.91	$17.38	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $34.67 / $66.07	Professional	TC	$21.88	$34.67	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $35.48 / $72.44	Professional		$25.70	$35.48	$72.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.14 / $16.98	Professional	26	$8.51	$15.14	$16.98
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Professional	TC	$27.54	$27.54	$27.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $16.98	Professional	26	$13.49	$13.49	$16.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $43.65 / $81.28	Professional		$38.02	$43.65	$81.28
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.18 / $24.55	Professional	26	$10.72	$13.18	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $30.90 / $56.23	Professional	TC	$27.54	$30.90	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $45.71 / $72.44	Professional		$30.20	$45.71	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.18 / $21.38	Professional	26	$8.32	$13.18	$21.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $33.11 / $53.70	Professional	TC	$21.38	$33.11	$53.70
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $53.70 / $66.07	Professional		$39.81	$53.70	$66.07
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 $29.51 / $38.90 / $48.98	Professional	TC	$29.51	$38.90	$48.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $43.65 / $79.43	Professional		$30.20	$43.65	$79.43
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 $20.89 / $31.62 / $57.54	Professional	TC	$20.89	$31.62	$57.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $50.12	Professional		$43.65	$43.65	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.59 / $18.20	Professional	26	$11.22	$12.59	$18.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $34.67 / $50.12	Professional	TC	$31.62	$34.67	$50.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Professional		$79.43	$79.43	$79.43
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $13.49 / $16.98	Professional	26	$12.02	$13.49	$16.98
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $13.80 / $24.55	Facility	26	$9.55	$13.80	$24.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $45.71 / $85.11	Professional		$32.36	$45.71	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $22.91	Professional	26	$8.91	$12.59	$22.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.11 / $61.66	Professional	TC	$22.91	$33.11	$61.66
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $53.70 / $77.62	Professional		$11.75	$53.70	$77.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $24.55 / $69.18	Professional		$15.85	$24.55	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	26	$12.02	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $77.62	Professional		$31.62	$42.66	$77.62
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.88 / $28.84	Professional	26	$8.91	$12.88	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $57.54	Professional	TC	$22.39	$30.20	$57.54

Pennsylvania rates for HCPCS 72072