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 26 Typical Low / Median / Typical High $45.71 / $89.13 / $173.78	Facility	26	$45.71	$89.13	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $162.18 / $588.84	Professional		$60.26	$162.18	$588.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $81.28 / $181.97	Professional	26	$44.67	$81.28	$181.97
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	50	$43.65	$43.65	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $162.18 / $338.84	Professional	TC	$100.00	$162.18	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $151.36 / $190.55	Professional		$125.89	$151.36	$190.55
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $69.18 / $91.20	Professional	26	$45.71	$69.18	$91.20
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $72.44	Professional	26	$56.23	$58.88	$72.44
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $158.49 / $407.38	Professional		$151.36	$158.49	$407.38
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $123.03	Professional	26	$46.77	$63.10	$123.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $302.00 / $316.23 / $812.83	Professional	50	$302.00	$316.23	$812.83
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $109.65 / $316.23	Professional	TC	$104.71	$109.65	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $436.52	Professional		$154.88	$257.04	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $63.10 / $97.72	Professional	26	$36.31	$63.10	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $190.55 / $331.13	Professional	TC	$112.20	$190.55	$331.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $213.80 / $263.03	Professional		$158.49	$213.80	$263.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $75.86	Professional	26	$46.77	$63.10	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $154.88 / $223.87	Professional	TC	$114.82	$154.88	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $208.93 / $371.54	Professional		$151.36	$208.93	$371.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $57.54 / $100.00	Professional	26	$43.65	$57.54	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $147.91 / $288.40	Professional	TC	$104.71	$147.91	$288.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $204.17 / $213.80	Professional		$186.21	$204.17	$213.80
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $56.23 / $81.28	Professional	26	$52.48	$56.23	$81.28
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $208.93 / $213.80	Professional	TC	$208.93	$208.93	$213.80
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $58.88 / $75.86	Professional	26	$53.70	$58.88	$75.86
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $66.07 / $154.88	Facility	26	$45.71	$66.07	$154.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $234.42 / $436.52	Professional		$151.36	$234.42	$436.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $60.26 / $114.82	Professional	26	$45.71	$60.26	$114.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $162.18 / $316.23	Professional	TC	$104.71	$162.18	$316.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $245.47 / $380.19	Professional		$52.48	$245.47	$380.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $57.54	Facility	26	$46.77	$46.77	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $158.49 / $302.00	Professional		$70.79	$158.49	$302.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $57.54	Professional	26	$45.71	$46.77	$57.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $102.33 / $190.55	Professional	TC	$97.72	$102.33	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $218.78 / $371.54	Professional		$147.91	$218.78	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $56.23 / $100.00	Professional	26	$41.69	$56.23	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $158.49 / $281.84	Professional	TC	$109.65	$158.49	$281.84

Pennsylvania rates for HCPCS 73200