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 $50.12 / $199.53 / $380.19	Facility		$50.12	$199.53	$380.19
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $13.80 / $28.84	Facility	26	$6.92	$13.80	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $97.72 / $302.00	Facility	TC	$24.55	$97.72	$302.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $29.51 / $74.13	Professional		$10.72	$29.51	$74.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.75 / $29.51	Professional	26	$7.08	$11.75	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $28.18 / $54.95	Professional	TC	$18.62	$28.18	$54.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.70 / $38.02	Professional		$20.89	$25.70	$38.02
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.22 / $14.45	Professional	26	$7.94	$11.22	$14.45
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $18.62 / $28.18	Professional	TC	$18.62	$18.62	$28.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $489.78	Facility		$36.31	$79.43	$489.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $51.29	Professional		$36.31	$40.74	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.88	Professional	26	$10.00	$10.00	$12.88
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 $30.90 / $36.31 / $67.61	Professional		$30.90	$36.31	$67.61
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.72 / $19.95	Professional	26	$7.76	$10.72	$19.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $25.70 / $47.86	Professional	TC	$23.44	$25.70	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $66.07 / $208.93	Facility		$30.90	$66.07	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $36.31 / $60.26	Professional		$24.55	$36.31	$60.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $10.23 / $16.60	Professional	26	$6.31	$10.23	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $26.92 / $43.65	Professional	TC	$17.38	$26.92	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $54.95	Professional		$33.11	$44.67	$54.95
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 $25.12 / $33.11 / $41.69	Professional	TC	$25.12	$33.11	$41.69
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 / $35.48 / $63.10	Professional		$23.99	$35.48	$63.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.77 / $17.38	Professional	26	$7.08	$9.77	$17.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.70 / $47.86	Professional	TC	$15.85	$25.70	$47.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $177.83 / $331.13	Facility		$102.33	$177.83	$331.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $128.82 / $295.12 / $537.03	Facility	TC	$128.82	$295.12	$537.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $38.02 / $42.66	Professional		$35.48	$38.02	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $9.33 / $14.13	Professional	26	$7.94	$9.33	$14.13
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $29.51 / $34.67	Professional	TC	$29.51	$29.51	$34.67
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $489.78	Facility		$61.66	$87.10	$489.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $40.74 / $46.77	Professional		$38.02	$40.74	$46.77
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 Typical Low / Median / Typical High $28.84 / $66.07 / $380.19	Facility		$28.84	$66.07	$380.19
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $9.77 / $19.50	Facility	26	$6.92	$9.77	$19.50
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.89 / $30.20 / $89.13	Facility	TC	$20.89	$30.20	$89.13
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 $6.61 / $9.55 / $17.78	Professional	26	$6.61	$9.55	$17.78
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.92 / $50.12	Professional	TC	$19.05	$26.92	$50.12
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $446.68 / $1,096.48	Facility		$436.52	$446.68	$1,096.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $41.69 / $63.10	Professional		$15.14	$41.69	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $19.05 / $31.62	Facility		$16.60	$19.05	$31.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $9.55 / $9.55	Facility	26	$7.94	$9.55	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $22.91	Facility	TC	$21.88	$21.88	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.50 / $40.74	Professional		$15.85	$19.50	$40.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $9.55	Professional	26	$7.76	$7.94	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $22.91 / $25.12	Professional	TC	$21.88	$22.91	$25.12
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 $25.12 / $33.11 / $64.57	Professional		$25.12	$33.11	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.55 / $22.39	Professional	26	$6.61	$9.55	$22.39
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $24.55 / $42.66	Professional	TC	$17.78	$24.55	$42.66

Pennsylvania rates for HCPCS 73060