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 $11.22 / $24.55 / $42.66	Facility	26	$11.22	$24.55	$42.66
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $112.20	Professional		$34.67	$48.98	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.14 / $36.31	Professional	26	$8.91	$15.14	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $63.10	Professional	TC	$25.12	$34.67	$63.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $52.48	Professional		$29.51	$29.51	$52.48
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $44.67 / $74.13	Professional		$43.65	$44.67	$74.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $12.30 / $20.42	Professional	26	$11.75	$12.30	$20.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $32.36 / $53.70	Professional	TC	$31.62	$32.36	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $53.70 / $83.18	Professional		$35.48	$53.70	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.49 / $22.91	Professional	26	$8.71	$13.49	$22.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $39.81 / $61.66	Professional	TC	$25.70	$39.81	$61.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $61.66 / $75.86	Professional		$45.71	$61.66	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.49 / $18.62	Professional	26	$11.48	$15.49	$18.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $44.67 / $56.23	Professional	TC	$33.88	$44.67	$56.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $91.20	Professional		$35.48	$48.98	$91.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $13.18 / $22.91	Professional	26	$8.91	$13.18	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $66.07	Professional	TC	$25.70	$36.31	$66.07
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $52.48 / $56.23	Professional		$48.98	$52.48	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $13.18 / $17.78	Professional	26	$12.02	$13.18	$17.78
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $17.38 / $35.48	Facility	26	$10.47	$17.38	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $97.72	Professional		$35.48	$48.98	$97.72
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $24.55	Professional	26	$8.91	$12.59	$24.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $70.79	Professional	TC	$25.70	$36.31	$70.79
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $61.66 / $89.13	Professional		$12.59	$61.66	$89.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $12.02 / $12.02	Facility	26	$11.75	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $30.90 / $125.89	Professional		$19.50	$30.90	$125.89
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.75 / $12.02	Professional	26	$11.22	$11.75	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $30.90 / $34.67	Professional	TC	$30.20	$30.90	$34.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $47.86 / $87.10	Professional		$36.31	$47.86	$87.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.18 / $24.55	Professional	26	$9.33	$13.18	$24.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $58.88	Professional	TC	$26.30	$34.67	$58.88

Pennsylvania rates for HCPCS 72074