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 Typical Low / Median / Typical High $39.81 / $194.98 / $323.59	Facility		$39.81	$194.98	$323.59
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $14.79 / $32.36	Facility	26	$7.59	$14.79	$32.36
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $77.62 / $316.23	Facility	TC	$19.95	$77.62	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $93.33	Professional		$22.91	$37.15	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $11.22 / $28.84	Professional	26	$7.76	$11.22	$28.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $24.55 / $52.48	Professional	TC	$15.14	$24.55	$52.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.70 / $38.02	Professional		$19.05	$25.70	$38.02
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.23 / $13.49	Professional	26	$6.92	$10.23	$13.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $18.20 / $29.51	Professional	TC	$15.49	$18.20	$29.51
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $72.44 / $331.13	Facility		$32.36	$72.44	$331.13
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	TC	$338.84	$338.84	$338.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $44.67	Professional		$34.67	$34.67	$44.67
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $13.49	Professional	26	$10.47	$10.47	$13.49
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $5,011.87 / $77,624.71	Facility		$16.22	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $74.13 / $102.33 / $147.91	Facility	TC	$74.13	$102.33	$147.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $35.48 / $63.10	Professional		$26.92	$35.48	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $19.95	Professional	26	$8.32	$10.96	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $24.55 / $43.65	Professional	TC	$18.62	$24.55	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $53.70 / $257.04	Facility		$25.12	$53.70	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $54.95	Professional		$22.39	$33.11	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.47 / $17.38	Professional	26	$6.76	$10.47	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.91 / $38.90	Professional	TC	$15.49	$22.91	$38.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $47.86	Professional		$28.84	$38.90	$47.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $13.80	Professional	26	$8.51	$11.48	$13.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $26.92 / $33.88	Professional	TC	$20.42	$26.92	$33.88
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	TC	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $31.62 / $57.54	Professional		$21.88	$31.62	$57.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $21.88 / $39.81	Professional	TC	$14.13	$21.88	$39.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $213.80 / $389.05	Facility		$81.28	$213.80	$389.05
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $151.36 / $371.54 / $489.78	Facility	TC	$151.36	$371.54	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $38.90	Professional		$30.90	$33.88	$38.90
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.00 / $14.79	Professional	26	$8.71	$10.00	$14.79
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.18 / $35.48	Professional	TC	$23.99	$28.18	$35.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $346.74	Facility		$57.54	$79.43	$346.74
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $338.84 / $338.84 / $338.84	Facility	TC	$338.84	$338.84	$338.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $34.67 / $44.67	Professional		$32.36	$34.67	$44.67
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.47 / $13.49	Professional	26	$10.00	$10.47	$13.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $66.07 / $501.19	Facility		$25.12	$66.07	$501.19
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $10.96 / $21.88	Facility	26	$7.59	$10.96	$21.88
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.60 / $28.18 / $190.55	Facility	TC	$16.60	$28.18	$190.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $63.10	Professional		$22.91	$33.11	$63.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $22.91 / $43.65	Professional	TC	$15.85	$22.91	$43.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $38.90 / $61.66	Professional		$15.85	$38.90	$61.66
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $28.84	Facility		$16.98	$19.95	$28.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $9.55 / $9.55	Facility	26	$8.32	$9.55	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.62 / $19.50 / $19.50	Facility	TC	$18.62	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $26.92	Professional		$16.98	$19.95	$26.92
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.51 / $9.55	Professional	26	$8.13	$8.51	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $19.05 / $20.42	Professional	TC	$18.20	$19.05	$20.42
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $309.03 / $354.81	Facility		$186.21	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $30.90 / $57.54	Professional		$22.39	$30.90	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $29.51	Professional	26	$7.08	$10.00	$29.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $21.38 / $40.74	Professional	TC	$15.14	$21.38	$40.74

Pennsylvania rates for HCPCS 72170