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 $44.67 / $199.53 / $407.38	Facility		$44.67	$199.53	$407.38
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $14.45 / $26.92	Facility	26	$7.24	$14.45	$26.92
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $134.90 / $524.81	Facility	TC	$23.44	$134.90	$524.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $33.88 / $87.10	Professional		$14.45	$33.88	$87.10
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.45 / $32.36	Professional	26	$7.08	$14.45	$32.36
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $109.65 / $158.49	Professional	50	$48.98	$109.65	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $26.92 / $54.95	Professional	TC	$16.60	$26.92	$54.95
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $23.44 / $39.81	Professional		$19.50	$23.44	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $9.77 / $12.59	Professional	26	$5.50	$9.77	$12.59
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.05 / $31.62	Professional	TC	$19.05	$19.05	$31.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $97.72 / $1,949.84	Facility		$34.67	$97.72	$1,949.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $36.31 / $46.77	Professional		$31.62	$36.31	$46.77
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 $100.00 / $5,011.87 / $77,624.71	Facility		$100.00	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $81.28 / $114.82 / $162.18	Facility	TC	$81.28	$114.82	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $60.26	Professional		$28.18	$32.36	$60.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.23 / $16.98	Professional	26	$7.94	$10.23	$16.98
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $64.57 / $120.23	Professional	50	$56.23	$64.57	$120.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $22.39 / $43.65	Professional	TC	$20.42	$22.39	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $58.88 / $208.93	Facility		$26.92	$58.88	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.11 / $54.95	Professional		$22.91	$33.11	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.55 / $15.85	Professional	26	$6.31	$9.55	$15.85
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $24.55 / $40.74	Professional	TC	$15.85	$24.55	$40.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $50.12	Professional		$30.20	$40.74	$50.12
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 $22.39 / $29.51 / $37.15	Professional	TC	$22.39	$29.51	$37.15
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	TC	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $31.62 / $58.88	Professional		$20.89	$31.62	$58.88
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $9.12 / $15.85	Professional	26	$6.17	$9.12	$15.85
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $22.91 / $43.65	Professional	TC	$14.45	$22.91	$43.65
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $190.55 / $331.13	Facility		$89.13	$190.55	$331.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $213.80 / $575.44	Facility	TC	$123.03	$213.80	$575.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $43.65	Professional		$32.36	$32.36	$43.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $9.77 / $15.14	Professional	26	$8.51	$9.77	$15.14
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.42 / $70.79 / $74.13	Professional	50	$20.42	$70.79	$74.13
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	TC	$30.90	$30.90	$30.90
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $933.25	Facility		$61.66	$79.43	$933.25
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $41.69	Professional		$36.31	$36.31	$41.69
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.00 / $13.18	Professional	26	$9.55	$10.00	$13.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $89.13 / $380.19	Facility		$26.92	$89.13	$380.19
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $10.72 / $23.44	Facility	26	$7.24	$10.72	$23.44
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.20 / $30.20 / $77.62	Facility	TC	$18.20	$30.20	$77.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.11 / $63.10	Professional		$23.99	$33.11	$63.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.55 / $17.38	Professional	26	$6.46	$9.55	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $23.99 / $45.71	Professional	TC	$16.60	$23.99	$45.71
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $363.08 / $489.78	Facility		$346.74	$363.08	$489.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $37.15 / $60.26	Professional		$9.12	$37.15	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $19.50 / $42.66	Facility		$5.01	$19.50	$42.66
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $7.94	Facility	26	$7.94	$7.94	$7.94
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $19.95 / $20.42	Facility	TC	$19.95	$19.95	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.50 / $53.70	Professional		$13.18	$19.50	$53.70
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $8.32	Professional	26	$7.76	$7.94	$8.32
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $19.95 / $22.39	Professional	TC	$19.95	$19.95	$22.39
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 $22.91 / $30.20 / $60.26	Professional		$22.91	$30.20	$60.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.33 / $22.91	Professional	26	$6.46	$9.33	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $21.88 / $42.66	Professional	TC	$16.22	$21.88	$42.66

Pennsylvania rates for HCPCS 73070