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 $45.71 / $104.71 / $151.36	Facility	26	$45.71	$104.71	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $104.71 / $186.21	Professional		$75.86	$104.71	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $64.57 / $123.03	Professional	TC	$46.77	$64.57	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $109.65	Professional		$104.71	$109.65	$109.65
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $67.61 / $218.78	Professional	TC	$64.57	$67.61	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $154.88 / $257.04	Professional		$87.10	$154.88	$257.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $102.33 / $186.21	Professional	TC	$53.70	$102.33	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $151.36 / $186.21	Professional		$114.82	$151.36	$186.21
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $95.50 / $120.23	Professional	TC	$72.44	$95.50	$120.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $151.36 / $263.03	Professional		$114.82	$151.36	$263.03
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $109.65 / $181.97	Professional	TC	$70.79	$109.65	$181.97
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $79.43 / $134.90	Facility	26	$38.02	$79.43	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $104.71 / $199.53	Professional		$79.43	$104.71	$199.53
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $123.03	Professional	TC	$48.98	$66.07	$123.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $165.96 / $263.03	Professional		$45.71	$165.96	$263.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $44.67 / $44.67	Facility	26	$38.90	$44.67	$44.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $128.82 / $218.78	Professional		$57.54	$128.82	$218.78
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $67.61 / $154.88	Professional	TC	$64.57	$67.61	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $229.09	Professional		$89.13	$134.90	$229.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $83.18 / $162.18	Professional	TC	$52.48	$83.18	$162.18

Pennsylvania rates for HCPCS 72265