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 $109.65 / $204.17 / $426.58	Facility	26	$109.65	$204.17	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $524.81 / $2,137.96	Professional		$331.13	$524.81	$2,137.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $194.98 / $436.52	Professional	26	$107.15	$194.98	$436.52
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $338.84 / $870.96	Professional	TC	$218.78	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $380.19 / $436.52	Professional		$251.19	$380.19	$436.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $154.88 / $204.17	Professional	26	$120.23	$154.88	$204.17
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $134.90 / $169.82	Professional	26	$128.82	$134.90	$169.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $501.19 / $1,230.27	Professional		$331.13	$501.19	$1,230.27
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $154.88 / $281.84	Professional	26	$114.82	$154.88	$281.84
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $331.13 / $1,122.02	Professional	TC	$218.78	$331.13	$1,122.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $630.96 / $1,258.93	Professional		$331.13	$630.96	$1,258.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $147.91 / $229.09	Professional	26	$83.18	$147.91	$229.09
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $457.09 / $1,096.48	Professional	TC	$218.78	$457.09	$1,096.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $457.09 / $1,288.25	Professional		$331.13	$457.09	$1,288.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $144.54 / $173.78	Professional	26	$107.15	$144.54	$173.78
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $295.12 / $371.54	Professional	TC	$223.87	$295.12	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $512.86 / $1,023.29	Professional		$331.13	$512.86	$1,023.29
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $134.90 / $234.42	Professional	26	$102.33	$134.90	$234.42
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $354.81 / $794.33	Professional	TC	$213.80	$354.81	$794.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $407.38 / $660.69	Professional		$346.74	$407.38	$660.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $134.90 / $190.55	Professional	26	$120.23	$134.90	$190.55
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $398.11 / $660.69	Professional	TC	$389.05	$398.11	$660.69
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $134.90 / $173.78	Professional	26	$123.03	$134.90	$173.78
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $151.36 / $281.84	Facility	26	$109.65	$151.36	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $512.86 / $1,023.29	Professional		$354.81	$512.86	$1,023.29
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $154.88 / $269.15	Professional	26	$109.65	$154.88	$269.15
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $338.84 / $707.95	Professional	TC	$234.42	$338.84	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $478.63 / $776.25	Professional		$120.23	$478.63	$776.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $131.83 / $131.83	Facility	26	$107.15	$131.83	$131.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $676.08 / $691.83	Professional		$74.13	$676.08	$691.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $107.15 / $131.83	Professional	26	$104.71	$107.15	$131.83
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $213.80 / $912.01	Professional	TC	$208.93	$213.80	$912.01
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $489.78 / $1,174.90	Professional		$302.00	$489.78	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $128.82 / $234.42	Professional	26	$93.33	$128.82	$234.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $316.23 / $977.24	Professional	TC	$208.93	$316.23	$977.24

Pennsylvania rates for HCPCS 72157