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 / $218.78 / $426.58	Facility	26	$102.33	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $478.63 / $1,513.56	Professional		$251.19	$478.63	$1,513.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $169.82 / $331.13	Professional	26	$102.33	$169.82	$331.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $371.54 / $891.25	Professional	TC	$281.84	$371.54	$891.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $147.91 / $194.98	Professional	26	$120.23	$147.91	$194.98
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $707.95	Professional		$562.34	$562.34	$707.95
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $125.89 / $162.18	Professional	26	$120.23	$125.89	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $416.87 / $954.99	Professional		$398.11	$416.87	$954.99
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $112.20 / $208.93	Professional	26	$107.15	$112.20	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $371.54 / $831.76	Professional	TC	$288.40	$371.54	$831.76
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $724.44 / $1,288.25	Professional		$389.05	$724.44	$1,288.25
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 $295.12 / $549.54 / $1,096.48	Professional	TC	$295.12	$549.54	$1,096.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $1,348.96	Professional		$398.11	$549.54	$1,348.96
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 $295.12 / $389.05 / $489.78	Professional	TC	$295.12	$389.05	$489.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $575.44 / $1,047.13	Professional		$389.05	$575.44	$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 $288.40 / $446.68 / $870.96	Professional	TC	$288.40	$446.68	$870.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $489.78 / $870.96	Professional		$446.68	$489.78	$870.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $117.49 / $158.49	Professional	26	$114.82	$117.49	$158.49
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $524.81 / $537.03	Professional	TC	$524.81	$524.81	$537.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $562.34 / $707.95	Professional		$446.68	$562.34	$707.95
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $125.89 / $162.18	Professional	26	$109.65	$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 $398.11 / $549.54 / $1,174.90	Professional		$398.11	$549.54	$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 $281.84 / $398.11 / $891.25	Professional	TC	$281.84	$398.11	$891.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $707.95 / $1,122.02	Professional		$186.21	$707.95	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $112.20	Facility	26	$102.33	$102.33	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $407.38 / $426.58	Professional		$363.08	$407.38	$426.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $102.33 / $112.20	Professional	26	$97.72	$102.33	$112.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $288.40 / $933.25	Professional	TC	$281.84	$288.40	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $575.44 / $1,148.15	Professional		$363.08	$575.44	$1,148.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $114.82 / $218.78	Professional	26	$87.10	$114.82	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $426.58 / $977.24	Professional	TC	$281.84	$426.58	$977.24

Pennsylvania rates for HCPCS 73223