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 $47.86 / $218.78 / $446.68	Facility		$47.86	$218.78	$446.68
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $19.05 / $38.02	Facility	26	$9.55	$19.05	$38.02
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $93.33 / $323.59	Facility	TC	$27.54	$93.33	$323.59
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $51.29 / $162.18	Professional		$33.11	$51.29	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.79 / $30.90	Professional	26	$8.91	$14.79	$30.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $114.82 / $177.83	Professional	50	$38.02	$114.82	$177.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $147.91 / $162.18	Professional	52	$38.02	$147.91	$162.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.90 / $74.13	Professional	TC	$22.91	$30.90	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $57.54	Professional		$28.18	$38.02	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.88 / $17.38	Professional	26	$7.41	$12.88	$17.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $38.90	Professional	TC	$23.99	$23.99	$38.90
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $102.33 / $602.56	Facility		$46.77	$102.33	$602.56
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $64.57	Professional		$43.65	$43.65	$64.57
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $14.45	Professional	26	$11.22	$11.22	$14.45
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $169.82 / $245.47	Facility	TC	$120.23	$169.82	$245.47
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $69.18	Professional		$39.81	$46.77	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.13 / $21.38	Professional	26	$10.72	$14.13	$21.38
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $32.36 / $51.29	Professional	TC	$29.51	$32.36	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $85.11 / $275.42	Facility		$38.90	$85.11	$275.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $79.43	Professional		$30.90	$47.86	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $13.80 / $22.39	Professional	26	$8.51	$13.80	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $57.54	Professional	TC	$22.91	$34.67	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $70.79	Professional		$43.65	$57.54	$70.79
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 $32.36 / $42.66 / $53.70	Professional	TC	$32.36	$42.66	$53.70
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	TC	$41.69	$41.69	$41.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $81.28	Professional		$30.20	$44.67	$81.28
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.30 / $22.91	Professional	26	$9.33	$12.30	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $33.11 / $60.26	Professional	TC	$20.89	$33.11	$60.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $213.80 / $331.13	Facility		$56.23	$213.80	$331.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $426.58 / $616.60	Facility	TC	$147.91	$426.58	$616.60
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $50.12 / $52.48	Professional		$45.71	$50.12	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $13.49 / $19.05	Professional	26	$11.75	$13.49	$19.05
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $602.56	Facility		$79.43	$107.15	$602.56
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $64.57	Professional		$43.65	$43.65	$64.57
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $16.22	Professional	26	$11.22	$11.22	$16.22
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $83.18 / $309.03	Facility		$36.31	$83.18	$309.03
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $25.70	Facility	26	$9.55	$14.13	$25.70
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $43.65 / $177.83	Facility	TC	$26.30	$43.65	$177.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $91.20	Professional		$33.11	$45.71	$91.20
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $33.88 / $66.07	Professional	TC	$23.99	$33.88	$66.07
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $234.42	Facility		$162.18	$169.82	$234.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $67.61 / $190.55	Professional		$18.20	$67.61	$190.55
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $27.54 / $75.86	Facility		$22.39	$27.54	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $10.72 / $12.59	Facility	26	$10.72	$10.72	$12.59
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $27.54 / $75.86	Professional		$21.88	$27.54	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.72 / $12.59	Professional	26	$10.23	$10.72	$12.59
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.84 / $32.36	Professional	TC	$28.18	$28.84	$32.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $309.03 / $354.81	Facility		$186.21	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $42.66 / $81.28	Professional		$33.11	$42.66	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.59 / $26.92	Professional	26	$9.12	$12.59	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $30.90 / $53.70	Professional	TC	$23.44	$30.90	$53.70

Pennsylvania rates for HCPCS 73521