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 $102.33 / $229.09 / $426.58	Facility	26	$102.33	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $512.86 / $1,348.96	Professional		$239.88	$512.86	$1,348.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $165.96 / $338.84	Professional	26	$102.33	$165.96	$338.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $389.05 / $870.96	Professional	TC	$288.40	$389.05	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $144.54 / $158.49	Professional	26	$144.54	$144.54	$158.49
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $588.84 / $741.31	Professional		$562.34	$588.84	$741.31
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $162.18	Professional	26	$125.89	$125.89	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $588.84 / $1,202.26	Professional		$426.58	$588.84	$1,202.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $134.90 / $251.19	Professional	26	$107.15	$134.90	$251.19
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $478.63 / $1,096.48	Professional	TC	$316.23	$478.63	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $758.58 / $1,348.96	Professional		$416.87	$758.58	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $125.89 / $204.17	Professional	26	$77.62	$125.89	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $588.84 / $1,122.02	Professional	TC	$316.23	$588.84	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $575.44 / $1,412.54	Professional		$416.87	$575.44	$1,412.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $134.90 / $162.18	Professional	26	$100.00	$134.90	$162.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $426.58 / $524.81	Professional	TC	$316.23	$426.58	$524.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $602.56 / $1,047.13	Professional		$416.87	$602.56	$1,047.13
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $120.23 / $213.80	Professional	26	$87.10	$120.23	$213.80
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $467.74 / $912.01	Professional	TC	$309.03	$467.74	$912.01
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $524.81 / $588.84	Professional		$446.68	$524.81	$588.84
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $123.03 / $173.78	Professional	26	$112.20	$123.03	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $588.84 / $741.31	Professional		$478.63	$588.84	$741.31
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $125.89 / $162.18	Professional	26	$114.82	$125.89	$162.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $147.91 / $371.54	Facility	26	$102.33	$147.91	$371.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $575.44 / $1,174.90	Professional		$407.38	$575.44	$1,174.90
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $141.25 / $257.04	Professional	26	$102.33	$141.25	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $436.52 / $912.01	Professional	TC	$288.40	$436.52	$912.01
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $707.95 / $1,202.26	Professional		$186.21	$707.95	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $114.82 / $114.82	Facility	26	$100.00	$114.82	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $407.38 / $478.63	Professional		$316.23	$407.38	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $100.00 / $114.82	Professional	26	$97.72	$100.00	$114.82
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $309.03 / $831.76	Professional	TC	$302.00	$309.03	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $616.60 / $1,202.26	Professional		$389.05	$616.60	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $117.49 / $218.78	Professional	26	$87.10	$117.49	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $457.09 / $1,023.29	Professional	TC	$302.00	$457.09	$1,023.29

Pennsylvania rates for HCPCS 73220