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 $9.55 / $19.05 / $35.48	Facility	26	$9.55	$19.05	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $53.70 / $162.18	Professional		$30.90	$53.70	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $16.60 / $33.11	Professional	26	$8.91	$16.60	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $66.07	Professional	TC	$21.88	$33.11	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $44.67 / $72.44	Professional		$33.88	$44.67	$72.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.59 / $16.60	Professional	26	$7.08	$12.59	$16.60
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	TC	$26.30	$26.30	$26.30
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $16.22	Professional	26	$13.49	$13.49	$16.22
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $74.13	Professional		$38.02	$41.69	$74.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $21.88	Professional	26	$10.72	$12.02	$21.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $30.20 / $52.48	Professional	TC	$27.54	$30.20	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $72.44	Professional		$28.18	$42.66	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $11.75 / $20.42	Professional	26	$7.76	$11.75	$20.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.90 / $53.70	Professional	TC	$20.42	$30.90	$53.70
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $53.70 / $66.07	Professional		$39.81	$53.70	$66.07
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $16.98	Professional	26	$10.47	$14.13	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $38.90 / $48.98	Professional	TC	$29.51	$38.90	$48.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $41.69 / $75.86	Professional		$25.70	$41.69	$75.86
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $11.75 / $19.95	Professional	26	$7.76	$11.75	$19.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $30.20 / $56.23	Professional	TC	$18.20	$30.20	$56.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $46.77 / $50.12	Professional		$41.69	$46.77	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.30 / $17.38	Professional	26	$11.22	$12.30	$17.38
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $48.98 / $51.29	Professional	TC	$34.67	$48.98	$51.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $13.49 / $17.78	Professional	26	$12.59	$13.49	$17.78
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $21.38	Facility	26	$9.55	$14.13	$21.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $43.65 / $83.18	Professional		$30.90	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $12.02 / $22.39	Professional	26	$8.13	$12.02	$22.39
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $31.62 / $60.26	Professional	TC	$21.88	$31.62	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $44.67 / $75.86	Professional		$21.38	$44.67	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $10.72	Facility	26	$10.47	$10.47	$10.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $22.91 / $38.02	Professional		$11.75	$22.91	$38.02
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $10.96	Professional	26	$10.47	$10.47	$10.96
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $30.20	Professional	TC	$23.99	$23.99	$30.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $75.86	Professional		$29.51	$39.81	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.02 / $26.30	Professional	26	$8.32	$12.02	$26.30
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $28.84 / $57.54	Professional	TC	$20.89	$28.84	$57.54

Pennsylvania rates for HCPCS 72202