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 $8.13 / $16.22 / $30.90	Facility	26	$8.13	$16.22	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $79.43 / $263.03	Facility	TC	$22.91	$79.43	$263.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $37.15 / $114.82	Professional		$19.95	$37.15	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.75 / $26.92	Professional	26	$7.94	$11.75	$26.92
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.44 / $48.98	Professional	TC	$16.98	$23.44	$48.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $33.11 / $39.81	Professional		$31.62	$33.11	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $13.18 / $14.45	Professional	26	$6.17	$13.18	$14.45
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $48.98	Professional		$33.88	$33.88	$48.98
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.02	Professional	26	$9.55	$9.55	$12.02
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $173.78	Facility	TC	$87.10	$123.03	$173.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $37.15 / $54.95	Professional		$32.36	$37.15	$54.95
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $11.75 / $17.78	Professional	26	$9.12	$11.75	$17.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $25.12 / $39.81	Professional	TC	$23.44	$25.12	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $36.31 / $60.26	Professional		$24.55	$36.31	$60.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $11.48 / $18.62	Professional	26	$6.92	$11.48	$18.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.70 / $43.65	Professional	TC	$17.38	$25.70	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $57.54	Professional		$34.67	$46.77	$57.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.30 / $14.79	Professional	26	$9.12	$12.30	$14.79
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.88 / $42.66	Professional	TC	$25.70	$33.88	$42.66
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $36.31 / $64.57	Professional		$22.91	$36.31	$64.57
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.23 / $19.50	Professional	26	$7.59	$10.23	$19.50
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $25.70 / $47.86	Professional	TC	$15.14	$25.70	$47.86
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $93.33 / $158.49 / $229.09	Facility	TC	$93.33	$158.49	$229.09
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $39.81 / $42.66	Professional		$36.31	$39.81	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.72 / $14.79	Professional	26	$9.55	$10.72	$14.79
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	TC	$34.67	$34.67	$34.67
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $33.88 / $38.90	Professional		$28.84	$33.88	$38.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.02	Professional	26	$9.55	$9.55	$12.02
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $12.02 / $26.30	Facility	26	$7.94	$12.02	$26.30
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $34.67 / $87.10	Facility	TC	$20.42	$34.67	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $35.48 / $70.79	Professional		$25.70	$35.48	$70.79
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $19.50	Professional	26	$7.08	$10.23	$19.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $51.29	Professional	TC	$18.20	$25.12	$51.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $54.95 / $1,071.52	Professional		$15.14	$54.95	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $8.91 / $10.47	Facility	26	$8.91	$8.91	$10.47
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.89 / $20.89 / $22.91	Facility	TC	$20.89	$20.89	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $20.42 / $51.29	Professional		$15.49	$20.42	$51.29
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.91 / $10.47	Professional	26	$8.71	$8.91	$10.47
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $22.39 / $25.12	Professional	TC	$20.89	$22.39	$25.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $64.57	Professional		$25.70	$33.88	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.72 / $25.12	Professional	26	$7.59	$10.72	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $23.44 / $41.69	Professional	TC	$17.38	$23.44	$41.69

Pennsylvania rates for HCPCS 73501