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 $30.90 / $72.44 / $109.65	Facility	26	$30.90	$72.44	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $117.49 / $269.15	Professional		$89.13	$117.49	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $26.92 / $69.18	Professional	26	$20.89	$26.92	$69.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $91.20 / $165.96	Professional	TC	$66.07	$91.20	$165.96
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $125.89 / $218.78	Professional		$120.23	$125.89	$218.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.84 / $53.70	Professional	26	$27.54	$28.84	$53.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $95.50 / $165.96	Professional	TC	$93.33	$95.50	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $239.88	Professional		$89.13	$131.83	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $33.88 / $56.23	Professional	26	$21.38	$33.88	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $97.72 / $181.97	Professional	TC	$66.07	$97.72	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.90 / $46.77	Professional	26	$28.84	$38.90	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $144.54 / $181.97	Professional	TC	$109.65	$144.54	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $251.19	Professional		$83.18	$138.04	$251.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $57.54	Professional	26	$21.88	$33.11	$57.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $107.15 / $190.55	Professional	TC	$57.54	$107.15	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $30.90	Professional	26	$30.20	$30.20	$30.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $54.95 / $95.50	Facility	26	$25.12	$54.95	$95.50
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $269.15	Professional		$91.20	$123.03	$269.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $26.92 / $57.54	Professional	26	$21.88	$26.92	$57.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $93.33 / $204.17	Professional	TC	$70.79	$93.33	$204.17
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $144.54 / $257.04	Professional		$53.70	$144.54	$257.04
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $28.84	Facility	26	$27.54	$27.54	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $81.28 / $257.04	Professional		$46.77	$81.28	$257.04
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $27.54 / $28.84	Professional	26	$26.92	$27.54	$28.84
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $97.72 / $107.15	Professional	TC	$81.28	$97.72	$107.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $125.89 / $229.09	Professional		$91.20	$125.89	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $32.36 / $60.26	Professional	26	$22.91	$32.36	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $95.50 / $177.83	Professional	TC	$67.61	$95.50	$177.83

Pennsylvania rates for HCPCS 73525