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 $12.59 / $25.12 / $50.12	Facility	26	$12.59	$25.12	$50.12
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $39.81 / $138.04 / $501.19	Facility	TC	$39.81	$138.04	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $69.18 / $144.54	Professional		$43.65	$69.18	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.50 / $40.74	Professional	26	$12.02	$19.50	$40.74
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional	50	$29.51	$29.51	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $42.66 / $91.20	Professional	TC	$30.20	$42.66	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $46.77 / $57.54	Professional		$36.31	$46.77	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $20.89 / $27.54	Professional	26	$9.55	$20.89	$27.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $79.43	Professional		$56.23	$56.23	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $18.62	Professional	26	$14.79	$14.79	$18.62
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $204.17 / $295.12	Facility	TC	$144.54	$204.17	$295.12
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $60.26 / $91.20	Professional		$52.48	$60.26	$91.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.20 / $28.18	Professional	26	$14.13	$18.20	$28.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $41.69 / $66.07	Professional	TC	$38.02	$41.69	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $100.00	Professional		$39.81	$60.26	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $18.20 / $29.51	Professional	26	$11.22	$18.20	$29.51
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $42.66 / $74.13	Professional	TC	$28.84	$42.66	$74.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $93.33	Professional		$56.23	$75.86	$93.33
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $19.05 / $22.91	Professional	26	$14.13	$19.05	$22.91
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $69.18	Professional	TC	$41.69	$54.95	$69.18
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Facility	TC	$50.12	$50.12	$50.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $57.54 / $104.71	Professional		$37.15	$57.54	$104.71
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $30.20	Professional	26	$12.02	$16.22	$30.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $41.69 / $77.62	Professional	TC	$25.12	$41.69	$77.62
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $208.93 / $380.19 / $645.65	Facility	TC	$208.93	$380.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $64.57 / $69.18	Professional		$58.88	$64.57	$69.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.22 / $20.89	Professional	26	$15.49	$16.22	$20.89
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Professional	50	$58.88	$58.88	$58.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $48.98 / $69.18	Professional	TC	$48.98	$48.98	$69.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $19.50	Professional	26	$14.79	$14.79	$19.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $19.05 / $40.74	Facility	26	$12.59	$19.05	$40.74
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $56.23 / $177.83	Facility	TC	$33.88	$56.23	$177.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $114.82	Professional		$43.65	$58.88	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.60 / $30.90	Professional	26	$12.02	$16.60	$30.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $42.66 / $85.11	Professional	TC	$30.90	$42.66	$85.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $89.13 / $549.54	Professional		$23.44	$89.13	$549.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.80 / $13.80 / $16.60	Facility	26	$13.80	$13.80	$16.60
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $38.02 / $38.02	Facility	TC	$34.67	$38.02	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $51.29 / $131.83	Professional		$25.70	$51.29	$131.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.80 / $14.45	Professional	26	$13.49	$13.80	$14.45
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $37.15 / $41.69	Professional	TC	$34.67	$37.15	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $97.72	Professional		$41.69	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.60 / $33.88	Professional	26	$12.02	$16.60	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $39.81 / $70.79	Professional	TC	$28.84	$39.81	$70.79

Pennsylvania rates for HCPCS 73522