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 / $426.58 / $1,288.25	Professional		$199.53	$426.58	$1,288.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $138.04 / $275.42	Professional	26	$67.61	$138.04	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $229.09 / $562.34	Professional	TC	$123.03	$229.09	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $257.04	Professional		$109.65	$147.91	$257.04
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $100.00 / $109.65	Professional	26	$67.61	$100.00	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $112.20	Professional	26	$83.18	$87.10	$112.20
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $295.12 / $645.65	Professional		$199.53	$295.12	$645.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $95.50 / $181.97	Professional	26	$74.13	$95.50	$181.97
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $186.21 / $707.95	Professional	TC	$125.89	$186.21	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $758.58	Professional		$194.98	$407.38	$758.58
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 / $302.00 / $645.65	Professional	TC	$125.89	$302.00	$645.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $269.15 / $912.01	Professional		$194.98	$269.15	$912.01
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 $125.89 / $169.82 / $208.93	Professional	TC	$125.89	$169.82	$208.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $323.59 / $616.60	Professional		$194.98	$323.59	$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 $123.03 / $251.19 / $489.78	Professional	TC	$123.03	$251.19	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $234.42 / $426.58	Professional		$218.78	$234.42	$426.58
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 TC Typical Low / Median / Typical High $186.21 / $223.87 / $229.09	Professional	TC	$186.21	$223.87	$229.09
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $263.03 / $338.84	Professional		$218.78	$263.03	$338.84
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $112.20	Professional	26	$83.18	$87.10	$112.20
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 / $831.76	Professional		$208.93	$407.38	$831.76
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 / $87.10 / $87.10	Facility	26	$69.18	$87.10	$87.10
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 / $87.10	Professional	26	$67.61	$69.18	$87.10
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $120.23 / $467.74	Professional	TC	$117.49	$120.23	$467.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $288.40 / $676.08	Professional		$177.83	$288.40	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $83.18 / $151.36	Professional	26	$63.10	$83.18	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $177.83 / $549.54	Professional	TC	$112.20	$177.83	$549.54

Pennsylvania rates for HCPCS 72146