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 $72.44 / $223.87 / $630.96	Facility		$72.44	$223.87	$630.96
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $12.88 / $28.84	Facility	26	$7.59	$12.88	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $165.96 / $575.44	Facility	TC	$33.88	$165.96	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $38.90 / $114.82	Professional		$10.47	$38.90	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $16.98 / $46.77	Professional	26	$7.94	$16.98	$46.77
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $31.62 / $70.79 / $199.53	Professional	50	$31.62	$70.79	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $89.13	Professional	TC	$22.91	$38.90	$89.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $33.88 / $54.95	Professional		$25.12	$33.88	$54.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $12.30 / $14.45	Professional	26	$7.24	$12.30	$14.45
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $44.67 / $56.23 / $83.18	Professional	50	$44.67	$56.23	$83.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $30.90 / $43.65	Professional	TC	$19.50	$30.90	$43.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $75.86 / $1,949.84	Facility		$34.67	$75.86	$1,949.84
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $75.86 / $1,230.27	Facility	TC	$31.62	$75.86	$1,230.27
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $41.69 / $60.26	Professional		$38.90	$41.69	$60.26
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $16.22	Professional	26	$10.47	$10.47	$16.22
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $93.33 / $131.83 / $190.55	Facility	TC	$93.33	$131.83	$190.55
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $63.10	Professional		$36.31	$41.69	$63.10
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 $72.44 / $87.10 / $125.89	Professional	50	$72.44	$87.10	$125.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $33.11 / $47.86	Professional	TC	$27.54	$33.11	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $77.62 / $208.93	Facility		$36.31	$77.62	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.47 / $16.60	Professional	26	$6.61	$10.47	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $51.29	Professional	TC	$19.50	$28.84	$51.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $52.48 / $64.57	Professional		$39.81	$52.48	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $14.13	Professional	26	$8.71	$11.75	$14.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $40.74 / $51.29	Professional	TC	$30.90	$40.74	$51.29
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	TC	$32.36	$32.36	$32.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $39.81 / $72.44	Professional		$22.39	$39.81	$72.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $18.20	Professional	26	$7.08	$10.23	$18.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $30.20 / $56.23	Professional	TC	$15.14	$30.20	$56.23
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $181.97 / $295.12	Facility		$87.10	$181.97	$295.12
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $234.42 / $416.87	Facility	TC	$123.03	$234.42	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $44.67 / $52.48	Professional		$40.74	$44.67	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.47 / $18.20	Professional	26	$8.71	$10.47	$18.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $91.20 / $95.50	Professional	50	$83.18	$91.20	$95.50
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $35.48 / $51.29	Professional	TC	$20.42	$35.48	$51.29
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $85.11 / $1,949.84	Facility		$58.88	$85.11	$1,949.84
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $77.62 / $177.83	Facility	TC	$34.67	$77.62	$177.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $45.71 / $60.26	Professional		$38.90	$45.71	$60.26
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $14.13	Professional	26	$10.47	$10.47	$14.13
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $100.00 / $467.74	Facility		$33.11	$100.00	$467.74
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 $24.55 / $37.15 / $85.11	Facility	TC	$24.55	$37.15	$85.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $41.69 / $77.62	Professional		$28.84	$41.69	$77.62
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 $21.88 / $31.62 / $57.54	Professional	TC	$21.88	$31.62	$57.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $38.90 / $74.13	Professional		$9.77	$38.90	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $30.20	Facility		$16.98	$19.95	$30.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $9.55 / $9.55	Facility	26	$8.32	$9.55	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $20.42 / $26.92	Facility	TC	$20.42	$20.42	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $34.67	Professional		$16.98	$19.95	$34.67
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.32 / $9.55	Professional	26	$8.13	$8.32	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $26.92 / $30.20	Professional	TC	$20.42	$26.92	$30.20
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 $25.70 / $38.02 / $77.62	Professional		$25.70	$38.02	$77.62
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $19.95	Professional	26	$7.08	$10.00	$19.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.18 / $57.54	Professional	TC	$19.50	$28.18	$57.54

Pennsylvania rates for HCPCS 73130