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 $104.71 / $190.55 / $416.87	Facility	26	$104.71	$190.55	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $524.81 / $2,187.76	Professional		$346.74	$524.81	$2,187.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $177.83 / $380.19	Professional	26	$102.33	$177.83	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $354.81 / $870.96	Professional	TC	$245.47	$354.81	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $457.09 / $501.19	Professional		$263.03	$457.09	$501.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $147.91 / $194.98	Professional	26	$79.43	$147.91	$194.98
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $151.36 / $354.81	Professional	TC	$151.36	$151.36	$354.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $2,089.30	Professional		$501.19	$501.19	$2,089.30
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $128.82 / $165.96	Professional	26	$123.03	$128.82	$165.96
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $346.74 / $446.68	Professional	TC	$346.74	$346.74	$446.68
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $478.63 / $1,202.26	Professional		$363.08	$478.63	$1,202.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $138.04 / $263.03	Professional	26	$114.82	$138.04	$263.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $338.84 / $1,096.48	Professional	TC	$245.47	$338.84	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $676.08 / $1,318.26	Professional		$346.74	$676.08	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $131.83 / $213.80	Professional	26	$81.28	$131.83	$213.80
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $524.81 / $1,122.02	Professional	TC	$245.47	$524.81	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $478.63 / $1,412.54	Professional		$346.74	$478.63	$1,412.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $165.96	Professional	26	$102.33	$138.04	$165.96
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $323.59 / $398.11	Professional	TC	$239.88	$323.59	$398.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $537.03 / $1,023.29	Professional		$346.74	$537.03	$1,023.29
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $123.03 / $218.78	Professional	26	$91.20	$123.03	$218.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $371.54 / $812.83	Professional	TC	$234.42	$371.54	$812.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $426.58 / $758.58	Professional		$371.54	$426.58	$758.58
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $125.89 / $181.97	Professional	26	$114.82	$125.89	$181.97
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $426.58 / $1,000.00	Professional	TC	$354.81	$426.58	$1,000.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $2,089.30 / $2,089.30	Professional		$501.19	$2,089.30	$2,089.30
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $128.82 / $208.93	Professional	26	$123.03	$128.82	$208.93
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $346.74 / $446.68	Professional	TC	$346.74	$346.74	$446.68
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $104.71 / $144.54 / $281.84	Facility	26	$104.71	$144.54	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $1,096.48	Professional		$371.54	$524.81	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $144.54 / $257.04	Professional	26	$104.71	$144.54	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $354.81 / $812.83	Professional	TC	$251.19	$354.81	$812.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $512.86 / $977.24	Professional		$114.82	$512.86	$977.24
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $120.23	Facility	26	$102.33	$102.33	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $346.74 / $467.74	Professional		$295.12	$346.74	$467.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $102.33 / $120.23	Professional	26	$100.00	$102.33	$120.23
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $234.42 / $933.25	Professional	TC	$229.09	$234.42	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $512.86 / $1,174.90	Professional		$316.23	$512.86	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $120.23 / $223.87	Professional	26	$89.13	$120.23	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $363.08 / $1,023.29	Professional	TC	$223.87	$363.08	$1,023.29

Pennsylvania rates for HCPCS 72197