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 $9.55 / $19.05 / $39.81	Facility	26	$9.55	$19.05	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $204.17	Professional		$33.11	$52.48	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $16.22 / $33.11	Professional	26	$8.91	$16.22	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $38.02 / $79.43	Professional	TC	$23.99	$38.02	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $16.60 / $17.38	Professional	26	$15.14	$16.60	$17.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional	TC	$23.99	$23.99	$23.99
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $61.66	Professional		$51.29	$51.29	$61.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $75.86	Professional		$38.90	$51.29	$75.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.18 / $25.70	Professional	26	$10.72	$13.18	$25.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $37.15 / $57.54	Professional	TC	$28.84	$37.15	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $52.48 / $83.18	Professional		$32.36	$52.48	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.49 / $21.88	Professional	26	$8.71	$13.49	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $39.81 / $63.10	Professional	TC	$25.70	$39.81	$63.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $72.44	Professional		$43.65	$58.88	$72.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $17.38	Professional	26	$10.72	$14.45	$17.38
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 $34.67 / $48.98 / $87.10	Professional		$34.67	$48.98	$87.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.88 / $22.91	Professional	26	$8.91	$12.88	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $63.10	Professional	TC	$25.70	$36.31	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $48.98 / $57.54	Professional		$44.67	$48.98	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.59 / $15.85	Professional	26	$11.22	$12.59	$15.85
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $51.29 / $66.07	Professional		$47.86	$51.29	$66.07
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $31.62	Facility	26	$9.55	$14.13	$31.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $51.29 / $97.72	Professional		$33.11	$51.29	$97.72
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.30 / $24.55	Professional	26	$8.91	$12.30	$24.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $74.13	Professional	TC	$23.99	$37.15	$74.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $61.66 / $85.11	Professional		$12.02	$61.66	$85.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $12.02	Facility	26	$10.72	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $23.99 / $69.18	Professional		$19.05	$23.99	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.72 / $12.02	Professional	26	$10.23	$10.72	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $34.67	Professional	TC	$28.18	$28.18	$34.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $81.28	Professional		$33.88	$45.71	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $25.70	Professional	26	$8.91	$12.59	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.88 / $63.10	Professional	TC	$24.55	$33.88	$63.10

Pennsylvania rates for HCPCS 72120