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 $69.18 / $204.17 / $630.96	Facility		$69.18	$204.17	$630.96
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $14.13 / $34.67	Facility	26	$8.13	$14.13	$34.67
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $35.48 / $144.54 / $549.54	Facility	TC	$35.48	$144.54	$549.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $46.77 / $134.90	Professional		$11.48	$46.77	$134.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.85 / $50.12	Professional	26	$8.51	$15.85	$50.12
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $31.62 / $77.62 / $223.87	Professional	50	$31.62	$77.62	$223.87
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	52	$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $41.69 / $93.33	Professional	TC	$25.12	$41.69	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.02 / $63.10	Professional		$26.30	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $12.88 / $15.85	Professional	26	$7.24	$12.88	$15.85
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $46.77 / $77.62	Professional	50	$41.69	$46.77	$77.62
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.20 / $48.98	Professional	TC	$24.55	$30.20	$48.98
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $37.15 / $100.00 / $2,137.96	Facility	TC	$37.15	$100.00	$2,137.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $51.29 / $363.08	Professional		$39.81	$51.29	$363.08
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 $104.71 / $147.91 / $213.80	Facility	TC	$104.71	$147.91	$213.80
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $44.67 / $69.18	Professional		$38.90	$44.67	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $11.75 / $21.88	Professional	26	$9.12	$11.75	$21.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $89.13 / $138.04	Professional	50	$77.62	$89.13	$138.04
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $33.11 / $52.48	Professional	TC	$30.20	$33.11	$52.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $89.13 / $208.93	Facility		$40.74	$89.13	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $42.66 / $75.86	Professional		$29.51	$42.66	$75.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $11.22 / $18.62	Professional	26	$7.24	$11.22	$18.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $32.36 / $57.54	Professional	TC	$21.38	$32.36	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $72.44	Professional		$43.65	$58.88	$72.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.88 / $15.49	Professional	26	$9.55	$12.88	$15.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $45.71 / $57.54	Professional	TC	$34.67	$45.71	$57.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
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 $23.99 / $44.67 / $81.28	Professional		$23.99	$44.67	$81.28
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $19.95	Professional	26	$7.41	$10.96	$19.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $33.88 / $63.10	Professional	TC	$16.98	$33.88	$63.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $186.21 / $302.00	Facility		$83.18	$186.21	$302.00
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $239.88 / $426.58	Facility	TC	$144.54	$239.88	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $48.98 / $57.54	Professional		$44.67	$48.98	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.96 / $19.05	Professional	26	$9.77	$10.96	$19.05
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.88 / $22.91 / $102.33	Professional	50	$21.88	$22.91	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $54.95 / $57.54	Professional	TC	$38.02	$54.95	$57.54
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $2,089.30 / $2,630.27	Facility		$89.13	$2,089.30	$2,630.27
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $37.15 / $83.18 / $190.55	Facility	TC	$37.15	$83.18	$190.55
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $51.29 / $67.61	Professional		$43.65	$51.29	$67.61
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.22 / $14.45	Professional	26	$11.22	$11.22	$14.45
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $97.72 / $371.54	Facility		$37.15	$97.72	$371.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $11.22 / $23.44	Facility	26	$8.13	$11.22	$23.44
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $45.71 / $134.90	Facility	TC	$27.54	$45.71	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $87.10	Professional		$33.11	$45.71	$87.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.72 / $19.50	Professional	26	$7.59	$10.72	$19.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $35.48 / $64.57	Professional	TC	$24.55	$35.48	$64.57
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $42.66 / $83.18	Professional		$10.47	$42.66	$83.18
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $30.20 / $77.62	Facility		$15.85	$30.20	$77.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $8.91 / $17.38	Facility	26	$8.91	$8.91	$17.38
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $30.20	Facility	TC	$26.30	$26.30	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $23.99 / $69.18	Professional		$15.85	$23.99	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.91 / $17.38	Professional	26	$8.71	$8.91	$17.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $29.51 / $33.11	Professional	TC	$26.30	$29.51	$33.11
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 $28.84 / $41.69 / $83.18	Professional		$28.84	$41.69	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $10.72 / $21.38	Professional	26	$7.59	$10.72	$21.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $66.07	Professional	TC	$21.88	$32.36	$66.07

Pennsylvania rates for HCPCS 73562