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 Typical Low / Median / Typical High $66.07 / $213.80 / $575.44	Facility		$66.07	$213.80	$575.44
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $14.13 / $34.67	Facility	26	$8.13	$14.13	$34.67
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $147.91 / $575.44	Facility	TC	$33.88	$147.91	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $38.90 / $97.72	Professional		$9.77	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.45 / $46.77	Professional	26	$8.51	$14.45	$46.77
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $30.20 / $66.07 / $181.97	Professional	50	$30.20	$66.07	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.88 / $79.43	Professional	TC	$20.89	$33.88	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $32.36 / $53.70	Professional		$23.44	$32.36	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.02 / $15.14	Professional	26	$7.41	$12.02	$15.14
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $39.81 / $43.65 / $72.44	Professional	50	$39.81	$43.65	$72.44
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.12 / $40.74	Professional	TC	$17.78	$25.12	$40.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $81.28 / $2,454.71	Facility		$37.15	$81.28	$2,454.71
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $977.24 / $977.24 / $977.24	Facility	TC	$977.24	$977.24	$977.24
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $63.10	Professional		$36.31	$40.74	$63.10
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $16.98	Professional	26	$11.22	$11.22	$16.98
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $40.74	Professional	TC	$31.62	$31.62	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $8,511.38 / $77,624.71	Facility		$19.50	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $177.83	Facility	TC	$87.10	$123.03	$177.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $38.02 / $69.18	Professional		$33.88	$38.02	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $11.75 / $21.88	Professional	26	$9.12	$11.75	$21.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $81.28 / $138.04	Professional	50	$67.61	$81.28	$138.04
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $29.51 / $45.71	Professional	TC	$24.55	$29.51	$45.71
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $70.79 / $208.93	Facility		$31.62	$70.79	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $64.57	Professional		$25.12	$38.02	$64.57
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $11.22 / $18.62	Professional	26	$7.24	$11.22	$18.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $26.92 / $46.77	Professional	TC	$18.20	$26.92	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $61.66	Professional		$37.15	$48.98	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $14.79	Professional	26	$9.12	$12.30	$14.79
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $36.31 / $46.77	Professional	TC	$27.54	$36.31	$46.77
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility	TC	$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $38.02 / $69.18	Professional		$23.99	$38.02	$69.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $19.50	Professional	26	$7.41	$10.47	$19.50
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $27.54 / $51.29	Professional	TC	$15.85	$27.54	$51.29
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $186.21 / $295.12	Facility		$87.10	$186.21	$295.12
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $245.47 / $426.58	Facility	TC	$123.03	$245.47	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $39.81 / $48.98	Professional		$35.48	$39.81	$48.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.72 / $16.60	Professional	26	$9.55	$10.72	$16.60
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $32.36 / $85.11 / $97.72	Professional	50	$32.36	$85.11	$97.72
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $31.62 / $45.71	Professional	TC	$23.99	$31.62	$45.71
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $2,454.71	Facility		$63.10	$87.10	$2,454.71
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $43.65 / $1,318.26 / $2,754.23	Facility	TC	$43.65	$1,318.26	$2,754.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $42.66 / $63.10	Professional		$36.31	$42.66	$63.10
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $11.22 / $15.14	Professional	26	$10.96	$11.22	$15.14
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $36.31	Professional	TC	$31.62	$31.62	$36.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $104.71 / $467.74	Facility		$34.67	$104.71	$467.74
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $11.22 / $23.44	Facility	26	$8.13	$11.22	$23.44
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.88 / $37.15 / $93.33	Facility	TC	$21.88	$37.15	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.90 / $72.44	Professional		$27.54	$38.90	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.72 / $19.50	Professional	26	$7.59	$10.72	$19.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $52.48	Professional	TC	$19.05	$28.18	$52.48
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $676.08 / $1,096.48	Facility		$660.69	$676.08	$1,096.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $41.69 / $69.18	Professional		$16.98	$41.69	$69.18
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $19.50 / $31.62	Facility		$16.60	$19.50	$31.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $10.00 / $10.00	Facility	26	$8.91	$10.00	$10.00
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $24.55	Facility	TC	$21.38	$21.38	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $21.88 / $50.12	Professional		$16.60	$21.88	$50.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.12 / $10.00	Professional	26	$8.71	$9.12	$10.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $23.99 / $26.92	Professional	TC	$21.38	$23.99	$26.92
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $295.12	Facility		$154.88	$257.04	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $36.31 / $72.44	Professional		$26.30	$36.31	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.72 / $21.38	Professional	26	$7.59	$10.72	$21.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $25.70 / $51.29	Professional	TC	$18.62	$25.70	$51.29

Pennsylvania rates for HCPCS 73030