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 $9.55 / $16.60 / $39.81	Facility	26	$9.55	$16.60	$39.81
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $39.81 / $208.93 / $758.58	Facility	TC	$39.81	$208.93	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $54.95 / $165.96	Professional		$15.49	$54.95	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $22.91 / $61.66	Professional	26	$10.23	$22.91	$61.66
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $123.03 / $275.42	Professional	50	$45.71	$123.03	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $97.72	Professional	TC	$28.18	$45.71	$97.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $74.13	Professional		$33.11	$52.48	$74.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $16.22 / $21.38	Professional	26	$8.91	$16.22	$21.38
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $67.61 / $112.20	Professional	50	$50.12	$67.61	$112.20
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $44.67 / $72.44	Professional	TC	$25.12	$44.67	$72.44
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $48.98 / $1,479.11 / $1,949.84	Facility	TC	$48.98	$1,479.11	$1,949.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $57.54 / $66.07	Professional		$51.29	$57.54	$66.07
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $23.44	Professional	26	$13.49	$13.49	$23.44
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $54.95	Professional	TC	$44.67	$44.67	$54.95
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $169.82 / $245.47	Facility	TC	$120.23	$169.82	$245.47
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $50.12 / $77.62	Professional		$45.71	$50.12	$77.62
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $24.55	Professional	26	$10.96	$14.13	$24.55
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $100.00 / $158.49	Professional	50	$91.20	$100.00	$158.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $36.31 / $58.88	Professional	TC	$34.67	$36.31	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $85.11	Professional		$33.88	$48.98	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $13.49 / $21.88	Professional	26	$8.71	$13.49	$21.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $64.57	Professional	TC	$23.99	$37.15	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $67.61 / $85.11	Professional		$51.29	$67.61	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.14 / $18.20	Professional	26	$11.22	$15.14	$18.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $52.48 / $66.07	Professional	TC	$39.81	$52.48	$66.07
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Facility	TC	$37.15	$37.15	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $51.29 / $93.33	Professional		$26.92	$51.29	$93.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.88 / $23.44	Professional	26	$8.91	$12.88	$23.44
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $39.81 / $74.13	Professional	TC	$18.20	$39.81	$74.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $288.40 / $489.78	Facility	TC	$147.91	$288.40	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $53.70 / $67.61	Professional		$52.48	$53.70	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $13.49 / $23.99	Professional	26	$11.48	$13.49	$23.99
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $25.70 / $109.65 / $120.23	Professional	50	$25.70	$109.65	$120.23
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $58.88 / $63.10	Professional	TC	$43.65	$58.88	$63.10
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $48.98 / $724.44 / $1,949.84	Facility	TC	$48.98	$724.44	$1,949.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $57.54 / $66.07	Professional		$48.98	$57.54	$66.07
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $13.49 / $18.62	Professional	26	$13.49	$13.49	$18.62
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $44.67 / $56.23	Professional	TC	$37.15	$44.67	$56.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $13.49 / $27.54	Facility	26	$9.55	$13.49	$27.54
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $51.29 / $151.36	Facility	TC	$30.90	$51.29	$151.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $52.48 / $100.00	Professional		$37.15	$52.48	$100.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.88 / $23.99	Professional	26	$8.91	$12.88	$23.99
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $39.81 / $74.13	Professional	TC	$26.92	$39.81	$74.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $46.77 / $95.50	Professional		$12.30	$46.77	$95.50
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $19.95	Facility	26	$10.96	$10.96	$19.95
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $33.88 / $33.88	Facility	TC	$28.18	$33.88	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $26.30 / $58.88	Professional		$8.71	$26.30	$58.88
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $10.96 / $11.48	Professional	26	$10.72	$10.96	$11.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.88 / $37.15	Professional	TC	$28.18	$33.88	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $47.86 / $95.50	Professional		$33.11	$47.86	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $26.92	Professional	26	$8.91	$12.59	$26.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $34.67 / $63.10	Professional	TC	$23.44	$34.67	$63.10

Pennsylvania rates for HCPCS 73564