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 / $199.53 / $416.87	Facility	26	$109.65	$199.53	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $501.19 / $2,089.30	Professional		$331.13	$501.19	$2,089.30
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $190.55 / $389.05	Professional	26	$104.71	$190.55	$389.05
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 $239.88 / $239.88 / $295.12	Professional		$239.88	$239.88	$295.12
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $154.88 / $204.17	Professional	26	$107.15	$154.88	$204.17
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $562.34	Professional		$446.68	$446.68	$562.34
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $177.83	Professional	26	$134.90	$134.90	$177.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $562.34 / $1,230.27	Professional		$346.74	$562.34	$1,230.27
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $144.54 / $275.42	Professional	26	$120.23	$144.54	$275.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $371.54 / $1,122.02	Professional	TC	$223.87	$371.54	$1,122.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $645.65 / $1,288.25	Professional		$331.13	$645.65	$1,288.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $138.04 / $223.87	Professional	26	$83.18	$138.04	$223.87
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 / $1,348.96	Professional		$331.13	$457.09	$1,348.96
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 $95.50 / $128.82 / $229.09	Professional	26	$95.50	$128.82	$229.09
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 / $389.05 / $660.69	Professional		$346.74	$389.05	$660.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $131.83 / $190.55	Professional	26	$117.49	$131.83	$190.55
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $380.19 / $398.11 / $660.69	Professional	TC	$380.19	$398.11	$660.69
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $446.68 / $575.44	Professional		$371.54	$446.68	$575.44
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $134.90 / $177.83	Professional	26	$128.82	$134.90	$177.83
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 $346.74 / $501.19 / $1,047.13	Professional		$346.74	$501.19	$1,047.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $151.36 / $257.04	Professional	26	$109.65	$151.36	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $338.84 / $707.95	Professional	TC	$223.87	$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 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $676.08 / $691.83	Professional		$93.33	$676.08	$691.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $107.15 / $112.20	Professional	26	$104.71	$107.15	$112.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $213.80 / $234.42	Professional	TC	$208.93	$213.80	$234.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $489.78 / $1,202.26	Professional		$302.00	$489.78	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $125.89 / $234.42	Professional	26	$93.33	$125.89	$234.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $309.03 / $1,000.00	Professional	TC	$204.17	$309.03	$1,000.00

Pennsylvania rates for HCPCS 72158