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 / $85.11 / $173.78	Facility	26	$45.71	$85.11	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $223.87 / $831.76	Professional		$131.83	$223.87	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $181.97	Professional	26	$43.65	$63.10	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $131.83 / $316.23	Professional	TC	$83.18	$131.83	$316.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $67.61 / $74.13	Professional	26	$50.12	$67.61	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $72.44	Professional	26	$56.23	$58.88	$72.44
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $131.83 / $478.63	Professional		$128.82	$131.83	$478.63
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $123.03	Professional	26	$46.77	$63.10	$123.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $83.18 / $371.54	Professional	TC	$81.28	$83.18	$371.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $251.19 / $426.58	Professional		$134.90	$251.19	$426.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $63.10 / $100.00	Professional	26	$36.31	$63.10	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $173.78 / $323.59	Professional	TC	$87.10	$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 $89.13 / $120.23 / $173.78	Professional	TC	$89.13	$120.23	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $204.17 / $371.54	Professional		$134.90	$204.17	$371.54
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 / $169.82 / $173.78	Professional		$154.88	$169.82	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $58.88 / $89.13	Professional	26	$52.48	$58.88	$89.13
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $151.36 / $158.49	Professional	TC	$151.36	$151.36	$158.49
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $58.88 / $74.13	Professional	26	$53.70	$58.88	$74.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $57.54 / $154.88	Facility	26	$45.71	$57.54	$154.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $213.80 / $426.58	Professional		$134.90	$213.80	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $60.26 / $114.82	Professional	26	$46.77	$60.26	$114.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $138.04 / $309.03	Professional	TC	$87.10	$138.04	$309.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $208.93 / $363.08	Professional		$52.48	$208.93	$363.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $61.66	Facility	26	$46.77	$46.77	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $169.82 / $309.03	Professional		$64.57	$169.82	$309.03
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 $128.82 / $199.53 / $380.19	Professional		$128.82	$199.53	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $100.00	Professional	26	$41.69	$57.54	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $131.83 / $281.84	Professional	TC	$85.11	$131.83	$281.84

Pennsylvania rates for HCPCS 72128