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 $48.98 / $223.87 / $489.78	Facility		$48.98	$223.87	$489.78
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $14.45 / $27.54	Facility	26	$7.24	$14.45	$27.54
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $100.00 / $363.08	Facility	TC	$23.44	$100.00	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $33.88 / $134.90	Professional		$12.30	$33.88	$134.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $16.98 / $45.71	Professional	26	$7.08	$16.98	$45.71
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.78 / $81.28 / $186.21	Professional	50	$17.78	$81.28	$186.21
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $47.86 / $234.42	Professional	52	$12.30	$47.86	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.84 / $72.44	Professional	TC	$18.20	$28.84	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $23.99 / $46.77	Professional		$20.42	$23.99	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $9.77 / $15.49	Professional	26	$5.50	$9.77	$15.49
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $17.78 / $40.74	Professional	TC	$17.78	$17.78	$40.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $70.79 / $5,754.40	Facility		$32.36	$70.79	$5,754.40
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.90 / $54.95	Professional		$33.11	$38.90	$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
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $8,511.38 / $77,624.71	Facility		$60.26	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $79.43 / $112.20 / $162.18	Facility	TC	$79.43	$112.20	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $35.48 / $58.88	Professional		$30.20	$35.48	$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 $60.26 / $70.79 / $117.49	Professional	50	$60.26	$70.79	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $24.55 / $40.74	Professional	TC	$22.39	$24.55	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $64.57 / $257.04	Facility		$29.51	$64.57	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $33.88 / $57.54	Professional		$22.91	$33.88	$57.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.77 / $16.22	Professional	26	$6.31	$9.77	$16.22
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.99 / $41.69	Professional	TC	$16.22	$23.99	$41.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $43.65 / $53.70	Professional		$32.36	$43.65	$53.70
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 $24.55 / $32.36 / $40.74	Professional	TC	$24.55	$32.36	$40.74
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 / $33.11 / $61.66	Professional		$20.42	$33.11	$61.66
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.33 / $16.60	Professional	26	$6.46	$9.33	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $24.55 / $44.67	Professional	TC	$13.80	$24.55	$44.67
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $218.78 / $363.08	Facility		$75.86	$218.78	$363.08
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $223.87 / $398.11	Facility	TC	$120.23	$223.87	$398.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $37.15 / $39.81	Professional		$30.90	$37.15	$39.81
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.33 / $17.78	Professional	26	$8.71	$9.33	$17.78
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $21.88 / $79.43	Professional	50	$18.62	$21.88	$79.43
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $4.37 / $4.37 / $17.38	Professional	52	$4.37	$4.37	$17.38
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $39.81	Professional	TC	$33.88	$33.88	$39.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $741.31	Facility		$57.54	$79.43	$741.31
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $38.90 / $50.12	Professional		$36.31	$38.90	$50.12
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 / $93.33 / $331.13	Facility		$28.84	$93.33	$331.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $10.72 / $23.44	Facility	26	$7.08	$10.72	$23.44
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $33.11 / $89.13	Facility	TC	$19.95	$33.11	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $63.10	Professional		$25.12	$34.67	$63.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.55 / $17.38	Professional	26	$6.61	$9.55	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.70 / $46.77	Professional	TC	$17.78	$25.70	$46.77
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $234.42	Facility		$162.18	$169.82	$234.42
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 $3.63 / $19.05 / $30.20	Facility		$3.63	$19.05	$30.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $8.51	Facility	26	$7.94	$7.94	$8.51
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $21.88 / $21.88	Facility	TC	$19.50	$21.88	$21.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $19.50 / $47.86	Professional		$13.18	$19.50	$47.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $8.51	Professional	26	$7.76	$7.94	$8.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $21.88 / $24.55	Professional	TC	$19.50	$21.88	$24.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $309.03 / $354.81	Facility		$186.21	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $32.36 / $63.10	Professional		$22.91	$32.36	$63.10
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 $16.60 / $23.44 / $46.77	Professional	TC	$16.60	$23.44	$46.77

Pennsylvania rates for HCPCS 73120