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 $10.96 / $21.88 / $39.81	Facility	26	$10.96	$21.88	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $50.12 / $112.20	Professional		$33.11	$50.12	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $18.20 / $32.36	Professional	26	$10.00	$18.20	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $32.36 / $61.66	Professional	TC	$22.91	$32.36	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $66.07 / $81.28	Professional		$51.29	$66.07	$81.28
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $18.62 / $19.05	Professional	26	$11.48	$18.62	$19.05
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $67.61	Professional		$52.48	$52.48	$67.61
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.14 / $18.20	Professional	26	$15.14	$15.14	$18.20
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $47.86 / $70.79	Professional		$40.74	$47.86	$70.79
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $13.80 / $24.55	Professional	26	$12.02	$13.80	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $33.88 / $50.12	Professional	TC	$28.84	$33.88	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $47.86 / $79.43	Professional		$32.36	$47.86	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $13.49 / $23.99	Professional	26	$8.91	$13.49	$23.99
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $56.23	Professional	TC	$22.91	$34.67	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $74.13	Professional		$44.67	$60.26	$74.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.98 / $20.42	Professional	26	$12.59	$16.98	$20.42
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $53.70	Professional	TC	$32.36	$42.66	$53.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $46.77 / $87.10	Professional		$28.18	$46.77	$87.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.49 / $22.91	Professional	26	$8.51	$13.49	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $33.11 / $63.10	Professional	TC	$19.50	$33.11	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $50.12 / $53.70	Professional		$46.77	$50.12	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $14.45 / $20.42	Professional	26	$13.18	$14.45	$20.42
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $67.61 / $389.05	Professional		$48.98	$67.61	$389.05
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $15.14 / $19.50	Professional	26	$14.45	$15.14	$19.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $17.78 / $35.48	Facility	26	$10.96	$17.78	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $47.86 / $93.33	Professional		$33.88	$47.86	$93.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $26.30	Professional	26	$9.77	$13.80	$26.30
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $33.88 / $67.61	Professional	TC	$23.99	$33.88	$67.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $48.98 / $91.20	Professional		$23.44	$48.98	$91.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $11.48 / $12.02	Facility	26	$11.48	$11.48	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $35.48 / $85.11	Professional		$16.98	$35.48	$85.11
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.02 / $12.30	Professional	26	$11.48	$12.02	$12.30
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $28.84 / $31.62	Professional	TC	$26.92	$28.84	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $43.65 / $81.28	Professional		$32.36	$43.65	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.49 / $28.18	Professional	26	$9.33	$13.49	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $54.95	Professional	TC	$22.39	$30.20	$54.95

Pennsylvania rates for HCPCS 72190