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 $120.23 / $239.88 / $478.63	Facility	26	$120.23	$239.88	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $426.58 / $1,737.80	Professional		$275.42	$426.58	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $120.23 / $194.98	Professional	26	$81.28	$120.23	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $302.00 / $562.34	Professional	TC	$190.55	$302.00	$562.34
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $275.42 / $741.31	Professional		$263.03	$275.42	$741.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $85.11 / $165.96	Professional	26	$81.28	$85.11	$165.96
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $190.55 / $645.65	Professional	TC	$181.97	$190.55	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $524.81 / $912.01	Professional		$275.42	$524.81	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $102.33 / $165.96	Professional	26	$61.66	$102.33	$165.96
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $398.11 / $758.58	Professional	TC	$194.98	$398.11	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $457.09	Professional		$275.42	$371.54	$457.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $107.15 / $128.82	Professional	26	$79.43	$107.15	$128.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $257.04 / $323.59	Professional	TC	$194.98	$257.04	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $416.87 / $741.31	Professional		$275.42	$416.87	$741.31
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $95.50 / $173.78	Professional	26	$69.18	$95.50	$173.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $302.00 / $588.84	Professional	TC	$190.55	$302.00	$588.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $575.44	Professional		$309.03	$309.03	$575.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $112.20 / $123.03	Professional	26	$93.33	$112.20	$123.03
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $190.55 / $416.87	Facility	26	$125.89	$190.55	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $446.68 / $1,047.13	Professional		$281.84	$446.68	$1,047.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $125.89 / $245.47	Professional	26	$81.28	$125.89	$245.47
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $309.03 / $707.95	Professional	TC	$194.98	$309.03	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $416.87 / $831.76	Professional		$89.13	$416.87	$831.76
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $91.20	Facility	26	$81.28	$81.28	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $323.59 / $512.86	Professional		$269.15	$323.59	$512.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $81.28 / $91.20	Professional	26	$79.43	$81.28	$91.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $190.55 / $478.63	Professional	TC	$186.21	$190.55	$478.63
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $741.31	Professional		$263.03	$407.38	$741.31
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $95.50 / $181.97	Professional	26	$70.79	$95.50	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $288.40 / $645.65	Professional	TC	$186.21	$288.40	$645.65

Pennsylvania rates for HCPCS 72196