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 $70.79 / $138.04 / $416.87	Facility	26	$70.79	$138.04	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $478.63 / $1,258.93	Professional		$199.53	$478.63	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $128.82 / $263.03	Professional	26	$69.18	$128.82	$263.03
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $331.13 / $1,698.24	Professional	52	$158.49	$331.13	$1,698.24
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $213.80 / $562.34	Professional	TC	$123.03	$213.80	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $213.80 / $263.03	Professional		$128.82	$213.80	$263.03
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $100.00 / $109.65	Professional	26	$52.48	$100.00	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $93.33 / $181.97	Professional	TC	$81.28	$93.33	$181.97
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $346.74	Professional		$263.03	$263.03	$346.74
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $109.65	Professional	26	$83.18	$87.10	$109.65
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $177.83 / $229.09	Professional	TC	$177.83	$177.83	$229.09
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $331.13 / $588.84	Professional		$223.87	$331.13	$588.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $97.72 / $181.97	Professional	26	$83.18	$97.72	$181.97
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $213.80 / $707.95	Professional	TC	$141.25	$213.80	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $724.44	Professional		$194.98	$407.38	$724.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $93.33 / $147.91	Professional	26	$53.70	$93.33	$147.91
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $295.12 / $602.56	Professional	TC	$125.89	$295.12	$602.56
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $269.15 / $891.25	Professional		$194.98	$269.15	$891.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $93.33 / $112.20	Professional	26	$69.18	$93.33	$112.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $169.82 / $213.80	Professional	TC	$128.82	$169.82	$213.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $309.03 / $616.60	Professional		$177.83	$309.03	$616.60
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $87.10 / $151.36	Professional	26	$64.57	$87.10	$151.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $194.98 / $446.68	Professional	TC	$112.20	$194.98	$446.68
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $229.09 / $398.11	Professional		$213.80	$229.09	$398.11
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $85.11 / $123.03	Professional	26	$74.13	$85.11	$123.03
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $42.66 / $42.66 / $45.71	Professional	52	$42.66	$42.66	$45.71
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $223.87 / $446.68	Professional	TC	$213.80	$223.87	$446.68
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $263.03 / $467.74	Professional		$223.87	$263.03	$467.74
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $87.10 / $112.20	Professional	26	$79.43	$87.10	$112.20
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $213.80 / $2,137.96	Professional	TC	$141.25	$213.80	$2,137.96
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $102.33 / $281.84	Facility	26	$70.79	$102.33	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $407.38 / $812.83	Professional		$208.93	$407.38	$812.83
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $120.23 / $199.53	Professional	26	$70.79	$120.23	$199.53
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $263.03 / $575.44	Professional	TC	$134.90	$263.03	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $288.40 / $707.95	Professional		$77.62	$288.40	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $83.18 / $83.18	Facility	26	$69.18	$83.18	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $323.59 / $416.87	Professional		$102.33	$323.59	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $69.18 / $83.18	Professional	26	$67.61	$69.18	$83.18
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $120.23 / $416.87	Professional	TC	$117.49	$120.23	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $281.84 / $645.65	Professional		$169.82	$281.84	$645.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $83.18 / $151.36	Professional	26	$61.66	$83.18	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $181.97 / $549.54	Professional	TC	$112.20	$181.97	$549.54

Pennsylvania rates for HCPCS 72141