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 $12.88 / $25.70 / $56.23	Facility	26	$12.88	$25.70	$56.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $81.28 / $302.00	Professional		$51.29	$81.28	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.99 / $60.26	Professional	26	$12.88	$23.99	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $57.54 / $117.49	Professional	TC	$37.15	$57.54	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $47.86 / $83.18	Professional		$41.69	$47.86	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.38 / $22.91	Professional	26	$20.89	$21.38	$22.91
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $72.44	Professional	TC	$67.61	$67.61	$72.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $100.00	Professional		$77.62	$77.62	$100.00
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $22.91	Professional	26	$18.20	$18.20	$22.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $70.79 / $109.65	Professional		$58.88	$70.79	$109.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.89 / $40.74	Professional	26	$14.79	$20.89	$40.74
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $51.29 / $81.28	Professional	TC	$44.67	$51.29	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $75.86 / $125.89	Professional		$48.98	$75.86	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $32.36	Professional	26	$12.02	$20.89	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $57.54 / $93.33	Professional	TC	$36.31	$57.54	$93.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $104.71	Professional		$64.57	$85.11	$104.71
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.50 / $23.44	Professional	26	$14.45	$19.50	$23.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $81.28	Professional	TC	$48.98	$64.57	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $128.82	Professional		$48.98	$72.44	$128.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $30.90	Professional	26	$14.13	$19.05	$30.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $53.70 / $95.50	Professional	TC	$34.67	$53.70	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $74.13 / $77.62	Professional		$67.61	$74.13	$77.62
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $16.98 / $25.12	Professional	26	$15.14	$16.98	$25.12
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $79.43 / $81.28	Professional	TC	$67.61	$79.43	$81.28
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $100.00	Professional		$77.62	$77.62	$100.00
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.20 / $22.91	Professional	26	$18.20	$18.20	$22.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $18.62 / $38.90	Facility	26	$12.88	$18.62	$38.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $75.86 / $138.04	Professional		$51.29	$75.86	$138.04
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $18.20 / $33.88	Professional	26	$12.30	$18.20	$33.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $102.33	Professional	TC	$38.02	$57.54	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $85.11 / $128.82	Professional		$16.22	$85.11	$128.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $19.50 / $19.50	Facility	26	$14.45	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $42.66 / $147.91	Professional		$17.38	$42.66	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $14.45 / $19.50	Professional	26	$14.13	$14.45	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $44.67 / $50.12	Professional	TC	$43.65	$44.67	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $67.61 / $112.20	Professional		$51.29	$67.61	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $33.88	Professional	26	$12.88	$17.78	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $48.98 / $85.11	Professional	TC	$38.02	$48.98	$85.11

Pennsylvania rates for HCPCS 72114