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 $19.05 / $38.02 / $66.07	Facility	26	$19.05	$38.02	$66.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $245.47	Professional		$72.44	$107.15	$245.47
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $25.70 / $52.48	Professional	26	$16.98	$25.70	$52.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $75.86 / $141.25	Professional	TC	$54.95	$75.86	$141.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $97.72 / $165.96	Professional		$95.50	$97.72	$165.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $20.89 / $38.90	Professional	26	$19.95	$20.89	$38.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $77.62 / $131.83	Professional	TC	$74.13	$77.62	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $181.97	Professional		$70.79	$102.33	$181.97
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $25.12 / $39.81	Professional	26	$15.14	$25.12	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $144.54	Professional	TC	$56.23	$79.43	$144.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $169.82	Professional		$102.33	$134.90	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.92 / $32.36	Professional	26	$19.95	$26.92	$32.36
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $107.15 / $134.90	Professional	TC	$81.28	$107.15	$134.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $102.33 / $186.21	Professional		$61.66	$102.33	$186.21
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $22.39 / $42.66	Professional	26	$16.22	$22.39	$42.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $81.28 / $141.25	Professional	TC	$44.67	$81.28	$141.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $23.99 / $25.70	Professional	26	$21.88	$23.99	$25.70
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.20 / $30.20 / $66.07	Facility	26	$18.20	$30.20	$66.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $213.80	Professional		$74.13	$102.33	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.88 / $43.65	Professional	26	$16.98	$21.88	$43.65
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $169.82	Professional	TC	$57.54	$79.43	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $72.44 / $177.83	Professional		$21.38	$72.44	$177.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Facility	26	$22.39	$22.39	$22.39
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $87.10 / $309.03	Professional		$24.55	$87.10	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	26	$22.39	$22.39	$22.39
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	TC	$61.66	$61.66	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $177.83	Professional		$70.79	$95.50	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $22.91 / $42.66	Professional	26	$16.60	$22.91	$42.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $75.86 / $138.04	Professional	TC	$53.70	$75.86	$138.04

Pennsylvania rates for HCPCS 72084