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 $7.94 / $15.85 / $33.11	Facility	26	$7.94	$15.85	$33.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $47.86 / $147.91	Professional		$32.36	$47.86	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $23.44	Professional	26	$7.08	$10.00	$23.44
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $52.48 / $58.88	Professional	50	$38.90	$52.48	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $32.36 / $67.61	Professional	TC	$22.39	$32.36	$67.61
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $40.74 / $57.54	Professional		$25.70	$40.74	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $9.55 / $12.88	Professional	26	$8.32	$9.55	$12.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	TC	$31.62	$31.62	$31.62
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $51.29 / $51.29	Professional		$42.66	$51.29	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $13.49	Professional	26	$10.47	$10.47	$13.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $39.81 / $67.61	Professional		$38.90	$39.81	$67.61
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.47 / $20.42	Professional	26	$8.32	$10.47	$20.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $31.62 / $52.48	Professional	TC	$30.20	$31.62	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $74.13	Professional		$27.54	$41.69	$74.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.72 / $17.38	Professional	26	$6.76	$10.72	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $30.90 / $57.54	Professional	TC	$19.95	$30.90	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $72.44	Professional		$43.65	$57.54	$72.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $13.80	Professional	26	$8.51	$11.48	$13.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $58.88	Professional	TC	$35.48	$46.77	$58.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $43.65 / $79.43	Professional		$21.38	$43.65	$79.43
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $17.78	Professional	26	$7.08	$10.00	$17.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $33.88 / $63.10	Professional	TC	$14.13	$33.88	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $45.71 / $51.29	Professional		$30.90	$45.71	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.77 / $12.88	Professional	26	$8.71	$9.77	$12.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Professional	TC	$45.71	$45.71	$45.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $51.29 / $51.29	Professional		$42.66	$51.29	$51.29
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.59 / $131.83	Professional	26	$9.12	$12.59	$131.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $12.30 / $33.11	Facility	26	$7.94	$12.30	$33.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $85.11	Professional		$30.20	$44.67	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.62	Professional	26	$7.08	$10.00	$18.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $33.11 / $67.61	Professional	TC	$22.91	$33.11	$67.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $38.90 / $79.43	Professional		$9.33	$38.90	$79.43
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $12.02	Facility	26	$8.32	$8.32	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $22.39 / $69.18	Professional		$15.85	$22.39	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.32 / $12.02	Professional	26	$8.13	$8.32	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $29.51 / $33.11	Professional	TC	$17.38	$29.51	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $38.90 / $75.86	Professional		$26.30	$38.90	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $19.95	Professional	26	$7.08	$10.00	$19.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $63.10	Professional	TC	$19.05	$30.90	$63.10

Pennsylvania rates for HCPCS 73565