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 $11.48 / $22.39 / $43.65	Facility	26	$11.48	$22.39	$43.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $52.48 / $165.96	Professional		$33.88	$52.48	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $18.20 / $35.48	Professional	26	$10.47	$18.20	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.20 / $67.61	Professional	TC	$22.91	$30.20	$67.61
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Professional	26	$8.71	$8.71	$8.71
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $58.88	Professional		$44.67	$44.67	$58.88
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $19.05	Professional	26	$12.88	$12.88	$19.05
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $72.44	Professional		$41.69	$48.98	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.22 / $25.12	Professional	26	$12.30	$16.22	$25.12
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $31.62 / $50.12	Professional	TC	$29.51	$31.62	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $79.43	Professional		$31.62	$47.86	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.22 / $26.30	Professional	26	$10.00	$16.22	$26.30
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $56.23	Professional	TC	$21.88	$32.36	$56.23
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 $12.88 / $17.38 / $20.89	Professional	26	$12.88	$17.38	$20.89
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $54.95	Professional	TC	$32.36	$42.66	$54.95
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $47.86 / $83.18	Professional		$29.51	$47.86	$83.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $26.92	Professional	26	$10.72	$14.45	$26.92
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $32.36 / $58.88	Professional	TC	$19.05	$32.36	$58.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $47.86 / $54.95	Professional		$46.77	$47.86	$54.95
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $13.49 / $21.38	Professional	26	$12.88	$13.49	$21.38
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $56.23 / $162.18	Professional		$44.67	$56.23	$162.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $21.38	Professional	26	$12.88	$12.88	$21.38
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $16.98 / $36.31	Facility	26	$11.22	$16.98	$36.31
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $93.33	Professional		$33.88	$45.71	$93.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.13 / $27.54	Professional	26	$10.00	$14.13	$27.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $66.07	Professional	TC	$22.91	$31.62	$66.07
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $51.29 / $194.98	Professional		$13.80	$51.29	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $14.79	Facility	26	$12.30	$12.30	$14.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $81.28	Professional		$25.12	$34.67	$81.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.30 / $14.79	Professional	26	$12.02	$12.30	$14.79
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $28.84 / $31.62	Professional	TC	$26.30	$28.84	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $44.67 / $83.18	Professional		$33.88	$44.67	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.79 / $30.20	Professional	26	$10.72	$14.79	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $53.70	Professional	TC	$21.88	$30.20	$53.70

Pennsylvania rates for HCPCS 72081