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 $53.70 / $199.53 / $426.58	Facility		$53.70	$199.53	$426.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $13.49 / $30.90	Facility	26	$7.76	$13.49	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $117.49 / $354.81	Facility	TC	$26.92	$117.49	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $30.90 / $97.72	Professional		$8.51	$30.90	$97.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.02 / $38.02	Professional	26	$7.94	$12.02	$38.02
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $131.83 / $218.78	Professional	50	$38.02	$131.83	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $60.26	Professional	TC	$20.89	$30.90	$60.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $29.51 / $53.70	Professional		$20.42	$29.51	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.88 / $14.13	Professional	26	$7.08	$12.88	$14.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $24.55	Professional	TC	$23.99	$23.99	$24.55
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $85.11 / $812.83	Facility		$38.02	$85.11	$812.83
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $11.75	Professional	26	$9.12	$9.12	$11.75
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $147.91 / $57,543.99	Facility		$125.89	$147.91	$57,543.99
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $141.25 / $199.53	Facility	TC	$100.00	$141.25	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.48 / $17.78	Professional	26	$8.71	$11.48	$17.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $81.28 / $120.23	Professional	50	$69.18	$81.28	$120.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $28.84 / $44.67	Professional	TC	$25.70	$28.84	$44.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $74.13 / $223.87	Facility		$33.88	$74.13	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $66.07	Professional		$26.30	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $11.22 / $18.20	Professional	26	$6.92	$11.22	$18.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $50.12	Professional	TC	$19.50	$28.84	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $61.66	Professional		$37.15	$48.98	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $14.13	Professional	26	$8.71	$11.75	$14.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $37.15 / $46.77	Professional	TC	$28.18	$37.15	$46.77
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility	TC	$33.88	$33.88	$33.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $69.18	Professional		$24.55	$38.02	$69.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.23 / $18.62	Professional	26	$7.59	$10.23	$18.62
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.84 / $52.48	Professional	TC	$16.98	$28.84	$52.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $186.21 / $363.08	Facility		$48.98	$186.21	$363.08
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $114.82 / $295.12 / $436.52	Facility	TC	$114.82	$295.12	$436.52
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $42.66 / $45.71	Professional		$38.90	$42.66	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $10.72 / $18.20	Professional	26	$9.12	$10.72	$18.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.88 / $87.10 / $91.20	Professional	50	$21.88	$87.10	$91.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $23.44 / $47.86	Professional	TC	$23.44	$23.44	$47.86
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $812.83	Facility		$64.57	$89.13	$812.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $47.86	Professional		$37.15	$37.15	$47.86
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $12.02	Professional	26	$9.12	$9.12	$12.02
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $63.10 / $426.58	Facility		$32.36	$63.10	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $11.48 / $21.38	Facility	26	$7.76	$11.48	$21.38
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $37.15 / $112.20	Facility	TC	$22.91	$37.15	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $39.81 / $75.86	Professional		$28.84	$39.81	$75.86
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $19.05	Professional	26	$7.08	$10.23	$19.05
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $29.51 / $57.54	Professional	TC	$20.89	$29.51	$57.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $208.93 / $446.68	Facility		$169.82	$208.93	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $60.26 / $912.01	Professional		$14.79	$60.26	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $20.42 / $42.66	Facility		$16.98	$20.42	$42.66
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $10.47	Facility	26	$8.71	$8.71	$10.47
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $25.70 / $25.70	Facility	TC	$23.44	$25.70	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $20.42 / $54.95	Professional		$16.98	$20.42	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.71 / $8.91	Professional	26	$8.32	$8.71	$8.91
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $25.70 / $28.18	Professional	TC	$23.44	$25.70	$28.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $295.12	Facility		$154.88	$257.04	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $37.15 / $69.18	Professional		$27.54	$37.15	$69.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $31.62	Professional	26	$7.41	$10.47	$31.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.92 / $47.86	Professional	TC	$19.95	$26.92	$47.86

Pennsylvania rates for HCPCS 73552