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 $52.48 / $112.20 / $204.17	Facility	26	$52.48	$112.20	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $302.00 / $1,096.48	Professional		$213.80	$302.00	$1,096.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $95.50 / $199.53	Professional	26	$52.48	$95.50	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $218.78 / $426.58	Professional	TC	$162.18	$218.78	$426.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $77.62 / $81.28	Professional	26	$53.70	$77.62	$81.28
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $85.11	Professional	26	$67.61	$67.61	$85.11
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $524.81 / $707.95	Professional		$363.08	$524.81	$707.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $134.90	Professional	26	$54.95	$70.79	$134.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $257.04 / $549.54	Professional	TC	$165.96	$257.04	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $338.84 / $549.54	Professional		$213.80	$338.84	$549.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $69.18 / $112.20	Professional	26	$41.69	$69.18	$112.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $263.03 / $436.52	Professional	TC	$158.49	$263.03	$436.52
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $389.05	Professional		$234.42	$316.23	$389.05
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $87.10	Professional	26	$53.70	$72.44	$87.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $239.88 / $295.12	Professional	TC	$177.83	$239.88	$295.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $489.78	Professional		$218.78	$295.12	$489.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $64.57 / $114.82	Professional	26	$46.77	$64.57	$114.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $223.87 / $398.11	Professional	TC	$173.78	$223.87	$398.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $302.00 / $302.00	Professional		$288.40	$302.00	$302.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $67.61 / $93.33	Professional	26	$61.66	$67.61	$93.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $263.03 / $309.03	Professional	TC	$263.03	$263.03	$309.03
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $67.61 / $87.10	Professional	26	$64.57	$67.61	$87.10
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $52.48 / $79.43 / $181.97	Facility	26	$52.48	$79.43	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $309.03 / $588.84	Professional		$223.87	$309.03	$588.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $128.82	Professional	26	$52.48	$70.79	$128.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $234.42 / $446.68	Professional	TC	$169.82	$234.42	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $371.54 / $588.84	Professional		$323.59	$371.54	$588.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $61.66	Facility	26	$54.95	$54.95	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $218.78 / $354.81	Professional		$181.97	$218.78	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $54.95 / $56.23	Professional	26	$52.48	$54.95	$56.23
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $186.21	Professional	TC	$165.96	$169.82	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $281.84 / $478.63	Professional		$204.17	$281.84	$478.63
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $64.57 / $114.82	Professional	26	$46.77	$64.57	$114.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $223.87 / $371.54	Professional	TC	$154.88	$223.87	$371.54

Pennsylvania rates for HCPCS 72193