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 / $204.17 / $436.52	Facility		$44.67	$204.17	$436.52
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $13.80 / $27.54	Facility	26	$6.92	$13.80	$27.54
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.88 / $112.20 / $446.68	Facility	TC	$21.88	$112.20	$446.68
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $29.51 / $81.28	Professional		$10.23	$29.51	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $13.18 / $33.11	Professional	26	$7.08	$13.18	$33.11
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $15.49 / $36.31 / $162.18	Professional	50	$15.49	$36.31	$162.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.18 / $57.54	Professional	TC	$16.98	$28.18	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $22.39 / $39.81	Professional		$19.50	$22.39	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $11.22 / $12.59	Professional	26	$6.17	$11.22	$12.59
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	TC	$31.62	$31.62	$31.62
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $79.43 / $1,995.26	Facility		$36.31	$79.43	$1,995.26
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $77.62 / $407.38	Facility	TC	$33.11	$77.62	$407.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $43.65	Professional		$36.31	$36.31	$43.65
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.30	Professional	26	$9.55	$9.55	$12.30
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 / $33.88 / $61.66	Professional		$28.18	$33.88	$61.66
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.00 / $18.62	Professional	26	$7.76	$10.00	$18.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $67.61 / $123.03	Professional	50	$56.23	$67.61	$123.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $23.44 / $40.74	Professional	TC	$20.89	$23.44	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $58.88 / $208.93	Facility		$27.54	$58.88	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $33.11 / $54.95	Professional		$22.39	$33.11	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $9.55 / $15.49	Professional	26	$6.17	$9.55	$15.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $23.99 / $40.74	Professional	TC	$15.85	$23.99	$40.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $39.81 / $50.12	Professional		$30.20	$39.81	$50.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.47 / $12.59	Professional	26	$7.76	$10.47	$12.59
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 $21.38 / $32.36 / $57.54	Professional		$21.38	$32.36	$57.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.12 / $16.60	Professional	26	$6.46	$9.12	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $22.91 / $42.66	Professional	TC	$14.45	$22.91	$42.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $181.97 / $363.08	Facility		$89.13	$181.97	$363.08
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $213.80 / $524.81	Facility	TC	$123.03	$213.80	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $35.48 / $37.15	Professional		$32.36	$35.48	$37.15
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $9.33 / $14.13	Professional	26	$8.13	$9.33	$14.13
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional	50	$66.07	$66.07	$66.07
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $30.90 / $37.15	Professional	TC	$26.30	$30.90	$37.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $758.58	Facility		$61.66	$87.10	$758.58
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 $33.11 / $36.31 / $46.77	Professional		$33.11	$36.31	$46.77
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.59	Professional	26	$9.55	$9.55	$12.59
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $69.18 / $467.74	Facility		$26.92	$69.18	$467.74
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $10.00 / $19.05	Facility	26	$6.92	$10.00	$19.05
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.62 / $30.90 / $186.21	Facility	TC	$18.62	$30.90	$186.21
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 $6.17 / $9.12 / $16.98	Professional	26	$6.17	$9.12	$16.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $44.67	Professional	TC	$16.98	$23.99	$44.67
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $218.78 / $389.05	Facility		$208.93	$218.78	$389.05
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $38.02 / $58.88	Professional		$14.45	$38.02	$58.88
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 $7.59 / $8.51 / $8.51	Facility	26	$7.59	$8.51	$8.51
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 $16.60 / $19.05 / $40.74	Professional		$16.60	$19.05	$40.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $7.59 / $8.51	Professional	26	$7.41	$7.59	$8.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $20.42 / $22.39	Professional	TC	$19.95	$20.42	$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 / $30.90 / $60.26	Professional		$22.91	$30.90	$60.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $20.42	Professional	26	$6.61	$9.33	$20.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $22.39 / $44.67	Professional	TC	$16.22	$22.39	$44.67

Pennsylvania rates for HCPCS 73090