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 $77.62 / $194.98 / $467.74	Facility		$77.62	$194.98	$467.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $19.05 / $41.69	Facility	26	$9.55	$19.05	$41.69
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $41.69 / $141.25 / $467.74	Facility	TC	$41.69	$141.25	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $45.71 / $123.03	Professional		$11.22	$45.71	$123.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.79 / $41.69	Professional	26	$10.00	$14.79	$41.69
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $52.48 / $630.96	Professional	50	$45.71	$52.48	$630.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $46.77 / $79.43	Professional	TC	$28.18	$46.77	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $45.71 / $74.13	Professional		$32.36	$45.71	$74.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.49 / $20.42	Professional	26	$8.91	$15.49	$20.42
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $35.48 / $57.54	Professional	TC	$25.12	$35.48	$57.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $38.02 / $100.00 / $1,412.54	Facility	TC	$38.02	$100.00	$1,412.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $63.10	Professional		$41.69	$48.98	$63.10
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $18.20	Professional	26	$11.22	$11.22	$18.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $8,511.38 / $77,624.71	Facility		$239.88	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $128.82 / $181.97 / $263.03	Facility	TC	$128.82	$181.97	$263.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $51.29 / $79.43	Professional		$45.71	$51.29	$79.43
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $20.89	Professional	26	$10.72	$14.13	$20.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $37.15 / $60.26	Professional	TC	$35.48	$37.15	$60.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $100.00 / $223.87	Facility		$46.77	$100.00	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $51.29 / $85.11	Professional		$34.67	$51.29	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $13.80 / $21.88	Professional	26	$8.32	$13.80	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $38.90 / $66.07	Professional	TC	$26.30	$38.90	$66.07
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $83.18	Professional		$50.12	$67.61	$83.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $17.38	Professional	26	$10.72	$14.45	$17.38
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $52.48 / $66.07	Professional	TC	$39.81	$52.48	$66.07
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	TC	$44.67	$44.67	$44.67
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $52.48 / $93.33	Professional		$31.62	$52.48	$93.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.30 / $22.91	Professional	26	$8.91	$12.30	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $39.81 / $70.79	Professional	TC	$22.39	$39.81	$70.79
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $190.55 / $309.03	Facility		$64.57	$190.55	$309.03
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $281.84 / $416.87	Facility	TC	$144.54	$281.84	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $54.95 / $60.26	Professional		$52.48	$54.95	$60.26
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.30 / $17.78	Professional	26	$10.96	$12.30	$17.78
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	50	$52.48	$52.48	$52.48
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $63.10	Professional	TC	$28.18	$44.67	$63.10
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $891.25 / $2,570.40	Facility		$707.95	$891.25	$2,570.40
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $38.02 / $87.10 / $199.53	Facility	TC	$38.02	$87.10	$199.53
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $48.98 / $63.10	Professional		$45.71	$48.98	$63.10
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $15.85	Professional	26	$11.22	$11.22	$15.85
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $165.96 / $467.74	Facility		$42.66	$165.96	$467.74
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $13.49 / $25.12	Facility	26	$9.55	$13.49	$25.12
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $52.48 / $162.18	Facility	TC	$30.90	$52.48	$162.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $52.48 / $102.33	Professional		$38.02	$52.48	$102.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $22.91	Professional	26	$8.91	$12.59	$22.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $39.81 / $77.62	Professional	TC	$28.18	$39.81	$77.62
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $812.83 / $1,096.48	Facility		$794.33	$812.83	$1,096.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $79.43 / $234.42	Professional		$18.20	$79.43	$234.42
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $39.81 / $69.18	Facility		$21.88	$39.81	$69.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $10.72 / $12.30	Facility	26	$10.72	$10.72	$12.30
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $34.67	Facility	TC	$30.90	$30.90	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $30.20 / $69.18	Professional		$20.42	$30.20	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.72 / $12.30	Professional	26	$10.23	$10.72	$12.30
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $33.88 / $38.02	Professional	TC	$30.90	$33.88	$38.02
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 $35.48 / $48.98 / $93.33	Professional		$35.48	$48.98	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.59 / $29.51	Professional	26	$9.12	$12.59	$29.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $75.86	Professional	TC	$26.30	$37.15	$75.86

Pennsylvania rates for HCPCS 73502