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 $67.61 / $169.82 / $263.03	Facility	26	$67.61	$169.82	$263.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $275.42 / $660.69	Professional		$190.55	$275.42	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $67.61 / $144.54	Professional	26	$52.48	$67.61	$144.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $190.55 / $549.54	Professional	TC	$134.90	$190.55	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	26	$85.11	$85.11	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $489.78 / $489.78	Professional		$338.84	$489.78	$489.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $61.66 / $117.49	Professional	26	$60.26	$61.66	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $389.05	Professional	TC	$134.90	$138.04	$389.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $380.19 / $645.65	Professional		$204.17	$380.19	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $75.86 / $123.03	Professional	26	$46.77	$75.86	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $275.42 / $501.19	Professional	TC	$144.54	$275.42	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $275.42 / $331.13	Professional		$204.17	$275.42	$331.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $79.43 / $95.50	Professional	26	$58.88	$79.43	$95.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $190.55 / $239.88	Professional	TC	$144.54	$190.55	$239.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $302.00 / $549.54	Professional		$204.17	$302.00	$549.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $70.79 / $125.89	Professional	26	$51.29	$70.79	$125.89
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $218.78 / $426.58	Professional	TC	$141.25	$218.78	$426.58
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $77.62 / $93.33	Professional	26	$63.10	$77.62	$93.33
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $120.23 / $208.93	Facility	26	$56.23	$120.23	$208.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $660.69	Professional		$190.55	$281.84	$660.69
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $70.79 / $138.04	Professional	26	$53.70	$70.79	$138.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $213.80 / $501.19	Professional	TC	$134.90	$213.80	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $316.23 / $549.54	Professional		$66.07	$316.23	$549.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $69.18	Facility	26	$60.26	$60.26	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $218.78 / $257.04	Professional		$194.98	$218.78	$257.04
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $60.26 / $69.18	Professional	26	$57.54	$60.26	$69.18
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $338.84	Professional	TC	$134.90	$138.04	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $302.00 / $524.81	Professional		$194.98	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $67.61 / $123.03	Professional	26	$50.12	$67.61	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $213.80 / $426.58	Professional	TC	$138.04	$213.80	$426.58

Pennsylvania rates for HCPCS 72133