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 $93.33 / $245.47 / $371.54	Facility	26	$93.33	$245.47	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $724.44	Professional		$239.88	$323.59	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $93.33 / $204.17	Professional	26	$66.07	$93.33	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $218.78 / $562.34	Professional	TC	$162.18	$218.78	$562.34
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $109.65 / $208.93	Professional	26	$85.11	$109.65	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $724.44	Professional	TC	$173.78	$181.97	$724.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $478.63 / $851.14	Professional		$288.40	$478.63	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $104.71 / $173.78	Professional	26	$64.57	$104.71	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $354.81 / $630.96	Professional	TC	$204.17	$354.81	$630.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $446.68	Professional		$269.15	$363.08	$446.68
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 $190.55 / $257.04 / $371.54	Professional	TC	$190.55	$257.04	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $389.05 / $630.96	Professional		$269.15	$389.05	$630.96
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 $181.97 / $275.42 / $467.74	Professional	TC	$181.97	$275.42	$467.74
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $104.71 / $112.20	Professional	26	$100.00	$104.71	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $173.78 / $295.12	Facility	26	$93.33	$173.78	$295.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $371.54 / $812.83	Professional		$245.47	$371.54	$812.83
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $100.00 / $199.53	Professional	26	$70.79	$100.00	$199.53
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $239.88 / $575.44	Professional	TC	$162.18	$239.88	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $457.09 / $831.76	Professional		$323.59	$457.09	$831.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $93.33	Facility	26	$83.18	$83.18	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $354.81	Professional		$181.97	$251.19	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $83.18 / $93.33	Professional	26	$81.28	$83.18	$93.33
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $288.40	Professional	TC	$165.96	$169.82	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $407.38 / $691.83	Professional		$269.15	$407.38	$691.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $97.72 / $173.78	Professional	26	$70.79	$97.72	$173.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $295.12 / $549.54	Professional	TC	$190.55	$295.12	$549.54

Pennsylvania rates for HCPCS 72191