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 $13.80 / $28.18 / $53.70	Facility	26	$13.80	$28.18	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $72.44 / $173.78	Professional		$50.12	$72.44	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.95 / $41.69	Professional	26	$12.88	$19.95	$41.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $50.12 / $91.20	Professional	TC	$36.31	$50.12	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $114.82	Professional		$93.33	$93.33	$114.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $22.91 / $28.84	Professional	26	$10.00	$22.91	$28.84
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Professional	TC	$69.18	$69.18	$69.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.49 / $19.50	Professional	26	$15.49	$15.49	$19.50
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $70.79 / $104.71	Professional		$60.26	$70.79	$104.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.50 / $30.20	Professional	26	$15.14	$19.50	$30.20
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $50.12 / $77.62	Professional	TC	$44.67	$50.12	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $69.18 / $114.82	Professional		$45.71	$69.18	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $19.50 / $31.62	Professional	26	$11.75	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $51.29 / $87.10	Professional	TC	$34.67	$51.29	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $104.71	Professional		$63.10	$85.11	$104.71
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $19.95 / $23.99	Professional	26	$14.79	$19.95	$23.99
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $64.57 / $81.28	Professional	TC	$48.98	$64.57	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $120.23	Professional		$42.66	$66.07	$120.23
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.38 / $31.62	Professional	26	$12.88	$17.38	$31.62
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $48.98 / $89.13	Professional	TC	$30.20	$48.98	$89.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $85.11	Professional		$67.61	$67.61	$85.11
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $16.60 / $22.39	Professional	26	$15.49	$16.60	$22.39
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $81.28	Professional	TC	$57.54	$57.54	$81.28
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $15.49 / $19.50	Professional	26	$15.49	$15.49	$19.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $18.62 / $53.70	Facility	26	$12.59	$18.62	$53.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $128.82	Professional		$50.12	$67.61	$128.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.38 / $32.36	Professional	26	$12.59	$17.38	$32.36
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $50.12 / $97.72	Professional	TC	$37.15	$50.12	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $102.33 / $416.87	Professional		$24.55	$102.33	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $17.78	Facility	26	$14.79	$14.79	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $58.88 / $147.91	Professional		$16.98	$58.88	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $14.79 / $15.49	Professional	26	$14.45	$14.79	$15.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $44.67 / $48.98	Professional	TC	$41.69	$44.67	$48.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $63.10 / $112.20	Professional		$47.86	$63.10	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $17.78 / $34.67	Professional	26	$12.88	$17.78	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $46.77 / $95.50	Professional	TC	$34.67	$46.77	$95.50

Pennsylvania rates for HCPCS 73523