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 $125.89 / $331.13 / $501.19	Facility	26	$125.89	$331.13	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $501.19 / $1,737.80	Professional		$346.74	$501.19	$1,737.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $131.83 / $245.47	Professional	26	$85.11	$131.83	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $691.83	Professional	TC	$257.04	$338.84	$691.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $478.63 / $870.96	Professional		$331.13	$478.63	$870.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $109.65 / $208.93	Professional	26	$85.11	$109.65	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $363.08 / $707.95	Professional	TC	$245.47	$363.08	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $575.44 / $933.25	Professional		$346.74	$575.44	$933.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $173.78	Professional	26	$64.57	$107.15	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $457.09 / $758.58	Professional	TC	$257.04	$457.09	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $575.44	Professional		$346.74	$467.74	$575.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $131.83	Professional	26	$83.18	$112.20	$131.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $346.74 / $436.52	Professional	TC	$263.03	$346.74	$436.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $831.76	Professional		$346.74	$467.74	$831.76
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $177.83	Professional	26	$72.44	$100.00	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $346.74 / $676.08	Professional	TC	$257.04	$346.74	$676.08
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $741.31	Professional		$707.95	$707.95	$741.31
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $104.71 / $138.04	Professional	26	$93.33	$104.71	$138.04
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $239.88 / $416.87	Facility	26	$125.89	$239.88	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $512.86 / $1,071.52	Professional		$346.74	$512.86	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $128.82 / $251.19	Professional	26	$85.11	$128.82	$251.19
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $363.08 / $794.33	Professional	TC	$257.04	$363.08	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $549.54 / $794.33	Professional		$91.20	$549.54	$794.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $100.00 / $100.00	Facility	26	$83.18	$100.00	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $331.13 / $537.03	Professional		$125.89	$331.13	$537.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $87.10 / $100.00	Professional	26	$81.28	$87.10	$100.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $281.84 / $436.52	Professional	TC	$251.19	$281.84	$436.52
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $457.09 / $794.33	Professional		$295.12	$457.09	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $97.72 / $177.83	Professional	26	$69.18	$97.72	$177.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $363.08 / $660.69	Professional	TC	$234.42	$363.08	$660.69

Pennsylvania rates for HCPCS 72198