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 $11.75 / $25.12 / $47.86	Facility	26	$11.75	$25.12	$47.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $66.07 / $151.36	Professional		$40.74	$66.07	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $32.36	Professional	26	$10.96	$15.14	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $44.67 / $95.50	Professional	TC	$32.36	$44.67	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $87.10	Professional		$33.11	$33.11	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Professional	26	$16.22	$16.22	$16.22
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $79.43	Professional		$61.66	$61.66	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $17.38	Professional	26	$13.49	$13.49	$17.38
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $64.57 / $100.00	Professional		$58.88	$64.57	$100.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $16.98 / $26.92	Professional	26	$13.49	$16.98	$26.92
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $46.77 / $77.62	Professional	TC	$44.67	$46.77	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $64.57 / $107.15	Professional		$43.65	$64.57	$107.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $17.38 / $27.54	Professional	26	$10.47	$17.38	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $47.86 / $83.18	Professional	TC	$33.11	$47.86	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $87.10 / $107.15	Professional		$64.57	$87.10	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $18.20 / $21.88	Professional	26	$13.49	$18.20	$21.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $67.61 / $85.11	Professional	TC	$51.29	$67.61	$85.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $66.07 / $120.23	Professional		$38.90	$66.07	$120.23
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.49 / $28.84	Professional	26	$11.48	$15.49	$28.84
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $51.29 / $87.10	Professional	TC	$27.54	$51.29	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.79 / $30.20	Professional	26	$14.45	$14.79	$30.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	TC	$67.61	$67.61	$67.61
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $72.44	Professional		$61.66	$61.66	$72.44
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $17.78	Professional	26	$13.49	$13.49	$17.78
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $19.50 / $47.86	Facility	26	$11.22	$19.50	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $128.82	Professional		$45.71	$60.26	$128.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $28.84	Professional	26	$10.96	$15.14	$28.84
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $45.71 / $100.00	Professional	TC	$33.88	$45.71	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $107.15 / $1,230.27	Professional		$22.39	$107.15	$1,230.27
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $12.88 / $15.85	Facility	26	$12.88	$12.88	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $50.12 / $186.21	Professional		$26.30	$50.12	$186.21
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $13.49	Professional	26	$12.59	$12.88	$13.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $43.65 / $47.86	Professional	TC	$38.02	$43.65	$47.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $107.15	Professional		$44.67	$60.26	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $30.90	Professional	26	$11.22	$15.49	$30.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $46.77 / $93.33	Professional	TC	$33.11	$46.77	$93.33

Pennsylvania rates for HCPCS 73503