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 $56.23 / $208.93 / $478.63	Facility		$56.23	$208.93	$478.63
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $14.79 / $28.84	Facility	26	$7.59	$14.79	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $141.25 / $467.74	Facility	TC	$26.92	$141.25	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $34.67 / $97.72	Professional		$10.47	$34.67	$97.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $13.80 / $38.02	Professional	26	$7.76	$13.80	$38.02
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $30.20 / $85.11 / $177.83	Professional	50	$30.20	$85.11	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $37.15 / $77.62	Professional	TC	$19.95	$37.15	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $30.90 / $53.70	Professional		$21.38	$30.90	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.30 / $14.13	Professional	26	$6.61	$12.30	$14.13
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	50	$38.90	$38.90	$38.90
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $28.84 / $37.15	Professional	TC	$26.30	$28.84	$37.15
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $1,698.24	Facility		$36.31	$79.43	$1,698.24
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $77.62 / $1,230.27	Facility	TC	$33.11	$77.62	$1,230.27
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $13.49	Professional	26	$10.47	$10.47	$13.49
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $8,511.38 / $77,624.71	Facility		$24.55	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $109.65 / $154.88 / $218.78	Facility	TC	$109.65	$154.88	$218.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $36.31 / $67.61	Professional		$31.62	$36.31	$67.61
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $19.95	Professional	26	$8.32	$10.96	$19.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $63.10 / $72.44 / $138.04	Professional	50	$63.10	$72.44	$138.04
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $26.92 / $47.86	Professional	TC	$23.44	$26.92	$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 $25.12 / $38.90 / $63.10	Professional		$25.12	$38.90	$63.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.47 / $16.60	Professional	26	$6.76	$10.47	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.84 / $46.77	Professional	TC	$18.20	$28.84	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $56.23	Professional		$33.88	$45.71	$56.23
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $13.80	Professional	26	$8.51	$11.48	$13.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.88 / $42.66	Professional	TC	$25.70	$33.88	$42.66
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 / $37.15 / $67.61	Professional		$23.99	$37.15	$67.61
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $17.78	Professional	26	$7.08	$10.00	$17.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $27.54 / $50.12	Professional	TC	$16.98	$27.54	$50.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $181.97 / $288.40	Facility		$87.10	$181.97	$288.40
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $128.82 / $229.09 / $416.87	Facility	TC	$128.82	$229.09	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $38.90 / $45.71	Professional		$36.31	$38.90	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.23 / $17.38	Professional	26	$8.71	$10.23	$17.38
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $79.43 / $83.18 / $93.33	Professional	50	$79.43	$83.18	$93.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $30.20 / $43.65	Professional	TC	$25.12	$30.20	$43.65
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $1,659.59	Facility		$61.66	$87.10	$1,659.59
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $36.31 / $81.28 / $186.21	Facility	TC	$36.31	$81.28	$186.21
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $40.74 / $46.77	Professional		$34.67	$40.74	$46.77
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.47 / $14.79	Professional	26	$10.00	$10.47	$14.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $169.82 / $436.52	Facility		$29.51	$169.82	$436.52
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $10.47 / $19.50	Facility	26	$7.59	$10.47	$19.50
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $85.11	Facility	TC	$20.89	$31.62	$85.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.02 / $70.79	Professional		$26.30	$38.02	$70.79
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
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 $912.01 / $933.25 / $1,148.15	Facility		$912.01	$933.25	$1,148.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $41.69 / $67.61	Professional		$9.33	$41.69	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $33.88	Facility		$16.98	$19.95	$33.88
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $9.55	Facility	26	$8.32	$8.32	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $22.91 / $23.99	Facility	TC	$22.91	$22.91	$23.99
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $37.15	Professional		$16.98	$19.95	$37.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.32 / $8.71	Professional	26	$8.13	$8.32	$8.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.91 / $25.12	Professional	TC	$22.39	$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 $26.30 / $34.67 / $67.61	Professional		$26.30	$34.67	$67.61
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.00 / $19.95	Professional	26	$6.92	$10.00	$19.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.12 / $50.12	Professional	TC	$19.05	$25.12	$50.12

Pennsylvania rates for HCPCS 73080