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 $70.79 / $186.21 / $426.58	Facility	26	$70.79	$186.21	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $478.63 / $1,513.56	Professional		$251.19	$478.63	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $134.90 / $257.04	Professional	26	$70.79	$134.90	$257.04
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $213.80 / $1,513.56 / $1,995.26	Professional	52	$213.80	$1,513.56	$1,995.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $281.84 / $588.84	Professional	TC	$169.82	$281.84	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $302.00	Professional		$181.97	$181.97	$302.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $97.72 / $107.15	Professional	26	$66.07	$97.72	$107.15
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $416.87	Professional		$323.59	$323.59	$416.87
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $85.11 / $107.15	Professional	26	$79.43	$85.11	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $323.59 / $831.76	Professional		$234.42	$323.59	$831.76
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $93.33 / $169.82	Professional	26	$72.44	$93.33	$169.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $251.19 / $707.95	Professional	TC	$162.18	$251.19	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $467.74 / $812.83	Professional		$239.88	$467.74	$812.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $87.10 / $141.25	Professional	26	$52.48	$87.10	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $346.74 / $691.83	Professional	TC	$169.82	$346.74	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $323.59 / $977.24	Professional		$234.42	$323.59	$977.24
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $91.20 / $109.65	Professional	26	$67.61	$91.20	$109.65
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $234.42 / $338.84	Professional	TC	$173.78	$234.42	$338.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $354.81 / $645.65	Professional		$234.42	$354.81	$645.65
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $144.54	Professional	26	$58.88	$81.28	$144.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $257.04 / $512.86	Professional	TC	$162.18	$257.04	$512.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $281.84 / $512.86	Professional		$263.03	$281.84	$512.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $85.11 / $120.23	Professional	26	$77.62	$85.11	$120.23
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $42.66 / $316.23 / $316.23	Professional	52	$42.66	$316.23	$316.23
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $288.40 / $302.00	Professional	TC	$245.47	$288.40	$302.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $323.59 / $426.58	Professional		$263.03	$323.59	$426.58
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $109.65	Professional	26	$72.44	$85.11	$109.65
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $104.71 / $371.54	Facility	26	$70.79	$104.71	$371.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $426.58 / $870.96	Professional		$251.19	$426.58	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $120.23 / $204.17	Professional	26	$70.79	$120.23	$204.17
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $302.00 / $630.96	Professional	TC	$177.83	$302.00	$630.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $371.54 / $707.95	Professional		$75.86	$371.54	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $89.13 / $89.13	Facility	26	$69.18	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $302.00 / $457.09	Professional		$169.82	$302.00	$457.09
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $70.79 / $89.13	Professional	26	$67.61	$70.79	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $177.83 / $416.87	Professional	TC	$158.49	$177.83	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $346.74 / $676.08	Professional		$218.78	$346.74	$676.08
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $251.19 / $588.84	Professional	TC	$158.49	$251.19	$588.84

Pennsylvania rates for HCPCS 72195