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 $45.71 / $89.13 / $194.98	Facility	26	$45.71	$89.13	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $223.87 / $645.65	Professional		$131.83	$223.87	$645.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $60.26 / $173.78	Professional	26	$43.65	$60.26	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $131.83 / $316.23	Professional	TC	$81.28	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $67.61 / $75.86	Professional	26	$38.02	$67.61	$75.86
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $213.80	Professional		$165.96	$165.96	$213.80
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $79.43	Professional	26	$58.88	$58.88	$79.43
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $331.13 / $478.63	Professional		$229.09	$331.13	$478.63
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $69.18 / $131.83	Professional	26	$46.77	$69.18	$131.83
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $128.82 / $371.54	Professional	TC	$81.28	$128.82	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $257.04 / $436.52	Professional		$134.90	$257.04	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $64.57 / $102.33	Professional	26	$38.02	$64.57	$102.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $173.78 / $323.59	Professional	TC	$89.13	$173.78	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $218.78	Professional		$134.90	$181.97	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $75.86	Professional	26	$46.77	$63.10	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $123.03 / $173.78	Professional	TC	$91.20	$123.03	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $204.17 / $380.19	Professional		$134.90	$204.17	$380.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $60.26 / $100.00	Professional	26	$45.71	$60.26	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $138.04 / $269.15	Professional	TC	$85.11	$138.04	$269.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $165.96 / $173.78	Professional		$154.88	$165.96	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $57.54 / $83.18	Professional	26	$51.29	$57.54	$83.18
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $151.36 / $158.49	Professional	TC	$125.89	$151.36	$158.49
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $165.96 / $213.80	Professional		$147.91	$165.96	$213.80
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $77.62	Professional	26	$56.23	$58.88	$77.62
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $117.49	Facility	26	$45.71	$63.10	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $426.58	Professional		$131.83	$213.80	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $61.66 / $117.49	Professional	26	$45.71	$61.66	$117.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $138.04 / $302.00	Professional	TC	$85.11	$138.04	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $199.53 / $363.08	Professional		$52.48	$199.53	$363.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $61.66 / $61.66	Facility	26	$46.77	$61.66	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $181.97 / $288.40	Professional		$63.10	$181.97	$288.40
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $61.66	Professional	26	$45.71	$46.77	$61.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $83.18 / $229.09	Professional	TC	$81.28	$83.18	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $380.19	Professional		$125.89	$204.17	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $57.54 / $100.00	Professional	26	$42.66	$57.54	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $134.90 / $288.40	Professional	TC	$85.11	$134.90	$288.40

Pennsylvania rates for HCPCS 72125