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 $7.94 / $16.98 / $29.51	Facility	26	$7.94	$16.98	$29.51
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $36.31 / $95.50	Professional		$25.12	$36.31	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $10.96 / $24.55	Professional	26	$6.03	$10.96	$24.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $45.71	Professional	TC	$18.20	$25.12	$45.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Professional	26	$13.18	$13.18	$13.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.88	Professional	26	$10.00	$10.00	$12.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.88 / $54.95	Professional		$32.36	$33.88	$54.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.47 / $20.42	Professional	26	$8.32	$10.47	$20.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $25.12 / $41.69	Professional	TC	$23.99	$25.12	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $36.31 / $61.66	Professional		$24.55	$36.31	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.47 / $16.60	Professional	26	$6.61	$10.47	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $26.30 / $45.71	Professional	TC	$17.78	$26.30	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $57.54	Professional		$34.67	$46.77	$57.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $13.80	Professional	26	$8.51	$11.48	$13.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $43.65	Professional	TC	$26.30	$34.67	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $35.48 / $66.07	Professional		$21.88	$35.48	$66.07
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $17.78	Professional	26	$7.08	$10.00	$17.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $26.30 / $48.98	Professional	TC	$14.79	$26.30	$48.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $40.74 / $42.66	Professional		$37.15	$40.74	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.33 / $14.45	Professional	26	$8.71	$9.33	$14.45
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.88	Professional	26	$10.00	$10.00	$12.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $15.14 / $28.84	Facility	26	$7.94	$15.14	$28.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $35.48 / $74.13	Professional		$25.70	$35.48	$74.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $19.50	Professional	26	$6.61	$9.33	$19.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $53.70	Professional	TC	$19.05	$26.30	$53.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $38.90 / $64.57	Professional		$15.85	$38.90	$64.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $9.55 / $9.55	Facility	26	$7.94	$9.55	$9.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.95 / $37.15	Professional		$13.18	$19.95	$37.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $8.32 / $9.55	Professional	26	$7.76	$8.32	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $23.44 / $26.30	Professional	TC	$19.50	$23.44	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $33.88 / $64.57	Professional		$24.55	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.77 / $19.95	Professional	26	$6.76	$9.77	$19.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.12 / $48.98	Professional	TC	$17.78	$25.12	$48.98

Pennsylvania rates for HCPCS 72200