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 $125.89 / $257.04 / $501.19	Facility	26	$125.89	$257.04	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $457.09 / $933.25	Professional		$281.84	$457.09	$933.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $141.25 / $257.04	Professional	26	$85.11	$141.25	$257.04
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $275.42 / $602.56	Professional		$269.15	$275.42	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $87.10 / $165.96	Professional	26	$85.11	$87.10	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $512.86 / $891.25	Professional		$281.84	$512.86	$891.25
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
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $457.09	Professional		$281.84	$380.19	$457.09
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
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
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $616.60	Professional		$363.08	$363.08	$616.60
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $114.82 / $851.14	Professional	26	$93.33	$114.82	$851.14
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $239.88 / $416.87	Facility	26	$125.89	$239.88	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $478.63 / $1,000.00	Professional		$288.40	$478.63	$1,000.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $134.90 / $257.04	Professional	26	$85.11	$134.90	$257.04
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 $83.18 / $104.71 / $104.71	Facility	26	$83.18	$104.71	$104.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $380.19 / $478.63	Professional		$181.97	$380.19	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $87.10 / $104.71	Professional	26	$81.28	$87.10	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $758.58	Professional		$263.03	$407.38	$758.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $173.78	Professional	26	$74.13	$100.00	$173.78

Pennsylvania rates for HCPCS 72147