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 $57.54 / $123.03 / $239.88	Facility	26	$57.54	$123.03	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $257.04 / $549.54	Professional		$169.82	$257.04	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $89.13 / $208.93	Professional	26	$53.70	$89.13	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $173.78 / $446.68	Professional	TC	$112.20	$173.78	$446.68
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $77.62 / $85.11	Professional	26	$66.07	$77.62	$85.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $60.26 / $114.82	Professional	26	$57.54	$60.26	$114.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $112.20 / $309.03	Professional	TC	$109.65	$112.20	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $309.03 / $537.03	Professional		$173.78	$309.03	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $70.79 / $117.49	Professional	26	$43.65	$70.79	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $218.78 / $398.11	Professional	TC	$117.49	$218.78	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $288.40	Professional		$173.78	$234.42	$288.40
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $91.20	Professional	26	$56.23	$75.86	$91.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $154.88 / $194.98	Professional	TC	$117.49	$154.88	$194.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $251.19 / $467.74	Professional		$173.78	$251.19	$467.74
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $120.23	Professional	26	$48.98	$67.61	$120.23
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $181.97 / $338.84	Professional	TC	$112.20	$181.97	$338.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional		$223.87	$223.87	$223.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $70.79 / $89.13	Professional	26	$64.57	$70.79	$89.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $83.18 / $199.53	Facility	26	$57.54	$83.18	$199.53
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $275.42 / $588.84	Professional		$169.82	$275.42	$588.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $141.25	Professional	26	$54.95	$74.13	$141.25
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $190.55 / $446.68	Professional	TC	$114.82	$190.55	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $257.04 / $478.63	Professional		$63.10	$257.04	$478.63
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $66.07	Facility	26	$57.54	$57.54	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $245.47	Professional		$165.96	$213.80	$245.47
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $57.54 / $58.88	Professional	26	$56.23	$57.54	$58.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $112.20 / $123.03	Professional	TC	$109.65	$112.20	$123.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $446.68	Professional		$165.96	$251.19	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $120.23	Professional	26	$48.98	$67.61	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $173.78 / $346.74	Professional	TC	$109.65	$173.78	$346.74

Pennsylvania rates for HCPCS 72126