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 $8.91 / $19.05 / $39.81	Facility	26	$8.91	$19.05	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $44.67 / $134.90	Professional		$28.84	$44.67	$134.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $13.80 / $29.51	Professional	26	$7.94	$13.80	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $27.54 / $63.10	Professional	TC	$19.05	$27.54	$63.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $37.15	Professional		$27.54	$27.54	$37.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.79 / $19.50	Professional	26	$10.72	$14.79	$19.50
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $40.74 / $72.44	Professional		$33.88	$40.74	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.18 / $24.55	Professional	26	$10.00	$13.18	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $26.92 / $48.98	Professional	TC	$23.44	$26.92	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $42.66 / $66.07	Professional		$27.54	$42.66	$66.07
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 $19.05 / $29.51 / $45.71	Professional	TC	$19.05	$29.51	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $48.98 / $60.26	Professional		$36.31	$48.98	$60.26
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.80 / $16.22	Professional	26	$10.23	$13.80	$16.22
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $43.65	Professional	TC	$26.30	$34.67	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $72.44	Professional		$28.18	$39.81	$72.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.30 / $21.38	Professional	26	$8.91	$12.30	$21.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $27.54 / $50.12	Professional	TC	$18.62	$27.54	$50.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $42.66 / $43.65	Professional		$39.81	$42.66	$43.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $16.98	Professional	26	$10.96	$12.02	$16.98
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $15.14 / $39.81	Facility	26	$8.51	$15.14	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $77.62	Professional		$28.18	$38.90	$77.62
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $22.91	Professional	26	$7.94	$11.48	$22.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.92 / $53.70	Professional	TC	$19.05	$26.92	$53.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $50.12 / $72.44	Professional		$11.22	$50.12	$72.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.02	Facility	26	$10.00	$10.00	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $21.88 / $50.12	Professional		$8.13	$21.88	$50.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.00 / $12.02	Professional	26	$9.77	$10.00	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $23.44 / $25.70	Professional	TC	$22.91	$23.44	$25.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.02 / $69.18	Professional		$28.84	$38.02	$69.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.30 / $24.55	Professional	26	$8.71	$12.30	$24.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $25.70 / $45.71	Professional	TC	$19.95	$25.70	$45.71

Pennsylvania rates for HCPCS 72080