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 $7.24 / $14.13 / $27.54	Facility	26	$7.24	$14.13	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $35.48 / $91.20	Professional		$11.48	$35.48	$91.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.13 / $29.51	Professional	26	$7.08	$14.13	$29.51
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $102.33 / $177.83	Professional	50	$77.62	$102.33	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.18 / $64.57	Professional	TC	$18.20	$28.18	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $29.51 / $47.86	Professional		$22.39	$29.51	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.55 / $13.49	Professional	26	$6.46	$9.55	$13.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional	TC	$42.66	$42.66	$42.66
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $43.65	Professional		$40.74	$40.74	$43.65
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.59	Professional	26	$10.00	$10.00	$12.59
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $35.48 / $61.66	Professional		$31.62	$35.48	$61.66
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.47 / $18.62	Professional	26	$7.94	$10.47	$18.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $63.10 / $70.79 / $123.03	Professional	50	$63.10	$70.79	$123.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $24.55 / $43.65	Professional	TC	$23.44	$24.55	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $34.67 / $60.26	Professional		$23.99	$34.67	$60.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.77 / $16.22	Professional	26	$6.31	$9.77	$16.22
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.12 / $43.65	Professional	TC	$17.38	$25.12	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $45.71 / $57.54	Professional		$34.67	$45.71	$57.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $10.96 / $13.18	Professional	26	$8.13	$10.96	$13.18
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 $21.38 / $34.67 / $64.57	Professional		$21.38	$34.67	$64.57
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.33 / $16.60	Professional	26	$6.46	$9.33	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $26.30 / $48.98	Professional	TC	$14.45	$26.30	$48.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $39.81 / $41.69	Professional		$36.31	$39.81	$41.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.55 / $13.49	Professional	26	$8.71	$9.55	$13.49
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $72.44 / $83.18	Professional	50	$72.44	$72.44	$83.18
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $41.69	Professional	TC	$35.48	$35.48	$41.69
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $40.74 / $48.98	Professional		$38.02	$40.74	$48.98
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 $7.24 / $10.47 / $19.05	Facility	26	$7.24	$10.47	$19.05
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $36.31 / $69.18	Professional		$25.70	$36.31	$69.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.55 / $17.38	Professional	26	$6.76	$9.55	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $26.92 / $50.12	Professional	TC	$18.62	$26.92	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $38.02 / $64.57	Professional		$15.14	$38.02	$64.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $8.51	Facility	26	$7.94	$7.94	$8.51
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.50 / $40.74	Professional		$13.18	$19.50	$40.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $8.51	Professional	26	$7.76	$7.94	$8.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $22.91 / $25.12	Professional	TC	$19.95	$22.91	$25.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.88 / $64.57	Professional		$23.99	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.55 / $19.05	Professional	26	$6.61	$9.55	$19.05
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.12 / $50.12	Professional	TC	$17.38	$25.12	$50.12

Pennsylvania rates for HCPCS 73000