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 $25.70 / $69.18 / $104.71	Facility	26	$25.70	$69.18	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $117.49 / $239.88	Professional		$83.18	$117.49	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $25.70 / $60.26	Professional	26	$20.89	$25.70	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $93.33 / $199.53	Professional	TC	$69.18	$93.33	$199.53
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $89.13	Professional		$75.86	$75.86	$89.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $128.82 / $223.87	Professional		$125.89	$128.82	$223.87
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $27.54 / $63.10	Professional	26	$26.92	$27.54	$63.10
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $102.33 / $165.96	Professional	TC	$97.72	$102.33	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $234.42	Professional		$89.13	$134.90	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $33.11 / $53.70	Professional	26	$20.42	$33.11	$53.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $102.33 / $186.21	Professional	TC	$70.79	$102.33	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $43.65	Professional	26	$26.92	$36.31	$43.65
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $147.91 / $186.21	Professional	TC	$112.20	$147.91	$186.21
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $141.25 / $257.04	Professional		$83.18	$141.25	$257.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $57.54	Professional	26	$21.88	$30.90	$57.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $112.20 / $208.93	Professional	TC	$58.88	$112.20	$208.93
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $29.51 / $30.90	Professional	26	$28.84	$29.51	$30.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $53.70 / $91.20	Facility	26	$23.99	$53.70	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $288.40	Professional		$97.72	$131.83	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $26.92 / $60.26	Professional	26	$20.89	$26.92	$60.26
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $229.09	Professional	TC	$74.13	$104.71	$229.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $144.54 / $257.04	Professional		$50.12	$144.54	$257.04
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Facility	26	$26.30	$26.30	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $70.79 / $158.49	Professional		$20.42	$70.79	$158.49
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.30 / $27.54	Professional	26	$25.70	$26.30	$27.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $100.00 / $109.65	Professional	TC	$97.72	$100.00	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $128.82 / $229.09	Professional		$93.33	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $57.54	Professional	26	$21.88	$30.90	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $100.00 / $181.97	Professional	TC	$70.79	$100.00	$181.97

Pennsylvania rates for HCPCS 73040