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 $112.20 / $245.47 / $467.74	Facility	26	$112.20	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $457.09 / $1,047.13	Professional		$281.84	$457.09	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $141.25 / $251.19	Professional	26	$85.11	$141.25	$251.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $323.59 / $691.83	Professional	TC	$194.98	$323.59	$691.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $281.84 / $660.69	Professional		$269.15	$281.84	$660.69
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $89.13 / $173.78	Professional	26	$85.11	$89.13	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $190.55 / $537.03	Professional	TC	$186.21	$190.55	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $912.01	Professional		$281.84	$512.86	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $112.20 / $177.83	Professional	26	$64.57	$112.20	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $380.19 / $724.44	Professional	TC	$194.98	$380.19	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $467.74	Professional		$281.84	$380.19	$467.74
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $134.90	Professional	26	$83.18	$112.20	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $263.03 / $331.13	Professional	TC	$199.53	$263.03	$331.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $426.58 / $758.58	Professional		$281.84	$426.58	$758.58
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $104.71 / $181.97	Professional	26	$77.62	$104.71	$181.97
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $302.00 / $588.84	Professional	TC	$194.98	$302.00	$588.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Professional		$630.96	$630.96	$630.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $104.71 / $165.96	Professional	26	$91.20	$104.71	$165.96
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $154.88 / $416.87	Facility	26	$85.11	$154.88	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $478.63 / $977.24	Professional		$288.40	$478.63	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $257.04	Professional	26	$85.11	$138.04	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $338.84 / $676.08	Professional	TC	$199.53	$338.84	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $416.87 / $707.95	Professional		$93.33	$416.87	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Facility	26	$100.00	$100.00	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $389.05 / $588.84	Professional		$25.70	$389.05	$588.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	26	$100.00	$100.00	$100.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $416.87 / $794.33	Professional		$269.15	$416.87	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $199.53	Professional	26	$74.13	$100.00	$199.53
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $281.84 / $660.69	Professional	TC	$186.21	$281.84	$660.69

Pennsylvania rates for HCPCS 72142