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 / $169.82	Facility	26	$45.71	$85.11	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $831.76	Professional		$128.82	$223.87	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $61.66 / $186.21	Professional	26	$43.65	$61.66	$186.21
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 Typical Low / Median / Typical High $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $66.07 / $74.13	Professional	26	$38.02	$66.07	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $74.13	Professional	26	$56.23	$58.88	$74.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $245.47 / $478.63	Professional		$131.83	$245.47	$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 / $104.71 / $371.54	Professional	TC	$81.28	$104.71	$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 $147.91 / $165.96 / $173.78	Professional		$147.91	$165.96	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $57.54 / $83.18	Professional	26	$52.48	$57.54	$83.18
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $151.36 / $154.88	Professional	TC	$125.89	$151.36	$154.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $75.86	Professional	26	$56.23	$58.88	$75.86
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $58.88 / $112.20	Facility	26	$45.71	$58.88	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $218.78 / $426.58	Professional		$134.90	$218.78	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $61.66 / $114.82	Professional	26	$45.71	$61.66	$114.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $141.25 / $309.03	Professional	TC	$85.11	$141.25	$309.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $204.17 / $363.08	Professional		$52.48	$204.17	$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 $57.54 / $162.18 / $181.97	Professional		$57.54	$162.18	$181.97
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 / $81.28 / $229.09	Professional	TC	$81.28	$81.28	$229.09
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $380.19	Professional		$125.89	$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 / $288.40	Professional	TC	$85.11	$131.83	$288.40

Pennsylvania rates for HCPCS 72131