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 $64.57 / $134.90 / $239.88	Facility	26	$64.57	$134.90	$239.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $794.33	Professional		$218.78	$295.12	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $186.21	Professional	26	$53.70	$74.13	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $218.78 / $549.54	Professional	TC	$162.18	$218.78	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $239.88 / $389.05	Professional		$234.42	$239.88	$389.05
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $60.26 / $141.25	Professional	26	$57.54	$60.26	$141.25
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $707.95	Professional	TC	$173.78	$181.97	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $398.11 / $660.69	Professional		$239.88	$398.11	$660.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $72.44 / $117.49	Professional	26	$43.65	$72.44	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $309.03 / $549.54	Professional	TC	$186.21	$309.03	$549.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $323.59 / $398.11	Professional		$245.47	$323.59	$398.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $75.86 / $91.20	Professional	26	$56.23	$75.86	$91.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $245.47 / $309.03	Professional	TC	$186.21	$245.47	$309.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $323.59 / $549.54	Professional		$234.42	$323.59	$549.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $120.23	Professional	26	$48.98	$67.61	$120.23
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $245.47 / $457.09	Professional	TC	$177.83	$245.47	$457.09
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $64.57 / $72.44	Professional	26	$60.26	$64.57	$72.44
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $100.00 / $199.53	Facility	26	$57.54	$100.00	$199.53
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $316.23 / $676.08	Professional		$223.87	$316.23	$676.08
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $70.79 / $138.04	Professional	26	$54.95	$70.79	$138.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $229.09 / $549.54	Professional	TC	$162.18	$229.09	$549.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $389.05 / $676.08	Professional		$323.59	$389.05	$676.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $66.07 / $66.07	Facility	26	$57.54	$66.07	$66.07
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $223.87 / $309.03	Professional		$186.21	$223.87	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $66.07	Professional	26	$56.23	$58.88	$66.07
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $173.78 / $323.59	Professional	TC	$165.96	$173.78	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $338.84 / $549.54	Professional		$234.42	$338.84	$549.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $67.61 / $123.03	Professional	26	$48.98	$67.61	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $263.03 / $467.74	Professional	TC	$177.83	$263.03	$467.74

Pennsylvania rates for HCPCS 72194