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 / $204.17 / $467.74	Facility		$50.12	$204.17	$467.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $14.45 / $30.90	Facility	26	$7.24	$14.45	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $95.50 / $380.19	Facility	TC	$26.30	$95.50	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $37.15 / $100.00	Professional		$12.59	$37.15	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $15.49 / $40.74	Professional	26	$7.08	$15.49	$40.74
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $44.67 / $87.10 / $186.21	Professional	50	$44.67	$87.10	$186.21
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $11.75 / $26.92 / $125.89	Professional	52	$11.75	$26.92	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $31.62 / $66.07	Professional	TC	$19.95	$31.62	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $30.20 / $43.65	Professional		$21.88	$30.20	$43.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $11.22 / $13.49	Professional	26	$5.75	$11.22	$13.49
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	50	$40.74	$40.74	$40.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $91.20 / $776.25	Facility	TC	$32.36	$91.20	$776.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $54.95	Professional		$42.66	$42.66	$54.95
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $12.59	Professional	26	$10.00	$10.00	$12.59
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $5,011.87 / $57,543.99	Facility		$123.03	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $85.11 / $117.49 / $169.82	Facility	TC	$85.11	$117.49	$169.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.90 / $58.88	Professional		$32.36	$38.90	$58.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.47 / $18.62	Professional	26	$7.94	$10.47	$18.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $64.57 / $77.62 / $117.49	Professional	50	$64.57	$77.62	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $28.18 / $43.65	Professional	TC	$24.55	$28.18	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $70.79 / $208.93	Facility		$33.11	$70.79	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $36.31 / $63.10	Professional		$25.12	$36.31	$63.10
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.00 / $16.22	Professional	26	$6.61	$10.00	$16.22
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $26.92 / $46.77	Professional	TC	$18.20	$26.92	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $47.86 / $58.88	Professional		$35.48	$47.86	$58.88
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 $26.92 / $35.48 / $44.67	Professional	TC	$26.92	$35.48	$44.67
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $36.31 / $66.07	Professional		$20.42	$36.31	$66.07
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.55 / $17.78	Professional	26	$6.76	$9.55	$17.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $26.92 / $50.12	Professional	TC	$14.13	$26.92	$50.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $186.21 / $331.13	Facility		$95.50	$186.21	$331.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $107.15 / $177.83 / $416.87	Facility	TC	$107.15	$177.83	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $37.15 / $42.66	Professional		$34.67	$37.15	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $9.33 / $15.14	Professional	26	$8.51	$9.33	$15.14
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $81.28 / $95.50	Professional	50	$18.62	$81.28	$95.50
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $4.37 / $4.37 / $4.37	Professional	52	$4.37	$4.37	$4.37
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $37.15 / $45.71	Professional	TC	$20.42	$37.15	$45.71
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $1,445.44 / $1,445.44	Facility		$380.19	$1,445.44	$1,445.44
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $72.44 / $165.96	Facility	TC	$32.36	$72.44	$165.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $42.66 / $54.95	Professional		$41.69	$42.66	$54.95
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
Independence Blue Cross Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	52	$54.95	$54.95	$54.95
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $61.66 / $208.93	Facility		$30.90	$61.66	$208.93
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $10.47 / $23.44	Facility	26	$7.08	$10.47	$23.44
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.39 / $37.15 / $251.19	Facility	TC	$22.39	$37.15	$251.19
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $70.79	Professional		$26.92	$38.02	$70.79
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.55 / $17.38	Professional	26	$6.76	$9.55	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $52.48	Professional	TC	$19.95	$28.18	$52.48
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $2,630.27 / $3,311.31	Facility		$812.83	$2,630.27	$3,311.31
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $37.15 / $67.61	Professional		$9.33	$37.15	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.63 / $19.05 / $33.11	Facility		$3.63	$19.05	$33.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $8.51 / $8.51	Facility	26	$7.94	$8.51	$8.51
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $19.50 / $24.55	Facility	TC	$19.50	$19.50	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $19.05 / $40.74	Professional		$10.96	$19.05	$40.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $8.13 / $8.51	Professional	26	$7.76	$8.13	$8.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $24.55 / $26.92	Professional	TC	$19.50	$24.55	$26.92
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 $24.55 / $34.67 / $66.07	Professional		$24.55	$34.67	$66.07
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.55 / $20.42	Professional	26	$6.76	$9.55	$20.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $26.30 / $53.70	Professional	TC	$17.78	$26.30	$53.70

Pennsylvania rates for HCPCS 73100