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 $102.33 / $239.88 / $467.74	Facility	26	$102.33	$239.88	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $446.68 / $1,023.29	Professional		$275.42	$446.68	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $141.25 / $316.23	Professional	26	$85.11	$141.25	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $309.03 / $691.83	Professional	TC	$190.55	$309.03	$691.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $275.42 / $676.08	Professional		$263.03	$275.42	$676.08
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $87.10 / $173.78	Professional	26	$85.11	$87.10	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $186.21 / $537.03	Professional	TC	$181.97	$186.21	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $512.86 / $912.01	Professional		$275.42	$512.86	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $173.78	Professional	26	$64.57	$107.15	$173.78
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 $275.42 / $371.54 / $457.09	Professional		$275.42	$371.54	$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
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $257.04 / $323.59	Professional	TC	$194.98	$257.04	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $741.31	Professional		$275.42	$416.87	$741.31
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $177.83	Professional	26	$72.44	$100.00	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $295.12 / $588.84	Professional	TC	$190.55	$295.12	$588.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $562.34	Professional		$316.23	$316.23	$562.34
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $107.15 / $741.31	Professional	26	$93.33	$107.15	$741.31
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $125.89 / $416.87	Facility	26	$85.11	$125.89	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $478.63 / $1,000.00	Professional		$281.84	$478.63	$1,000.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $131.83 / $257.04	Professional	26	$85.11	$131.83	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $331.13 / $707.95	Professional	TC	$194.98	$331.13	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $407.38 / $707.95	Professional		$93.33	$407.38	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $97.72 / $97.72	Facility	26	$83.18	$97.72	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $389.05 / $416.87	Professional		$117.49	$389.05	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $85.11 / $97.72	Professional	26	$81.28	$85.11	$97.72
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $190.55 / $512.86	Professional	TC	$181.97	$190.55	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $407.38 / $794.33	Professional		$257.04	$407.38	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $97.72 / $186.21	Professional	26	$72.44	$97.72	$186.21
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $275.42 / $660.69	Professional	TC	$181.97	$275.42	$660.69

Pennsylvania rates for HCPCS 72149