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 / $218.78 / $501.19	Facility		$53.70	$218.78	$501.19
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $13.80 / $28.84	Facility	26	$6.92	$13.80	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $114.82 / $660.69	Facility	TC	$26.92	$114.82	$660.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $33.11 / $91.20	Professional		$10.23	$33.11	$91.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.13 / $44.67	Professional	26	$7.08	$14.13	$44.67
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.88 / $77.62 / $177.83	Professional	50	$33.88	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $29.51 / $64.57	Professional	TC	$18.20	$29.51	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.70 / $47.86	Professional		$20.89	$25.70	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $11.22 / $12.88	Professional	26	$6.17	$11.22	$12.88
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	50	$37.15	$37.15	$37.15
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $27.54 / $42.66	Professional	TC	$21.88	$27.54	$42.66
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $75.86 / $2,754.23	Facility		$34.67	$75.86	$2,754.23
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $75.86 / $724.44	Facility	TC	$31.62	$75.86	$724.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $39.81 / $45.71	Professional		$33.88	$39.81	$45.71
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.30	Professional	26	$9.55	$9.55	$12.30
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $8,511.38 / $77,624.71	Facility		$64.57	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $77.62 / $109.65 / $158.49	Facility	TC	$77.62	$109.65	$158.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $35.48 / $63.10	Professional		$30.90	$35.48	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.23 / $19.95	Professional	26	$7.76	$10.23	$19.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $61.66 / $70.79 / $125.89	Professional	50	$61.66	$70.79	$125.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $25.12 / $43.65	Professional	TC	$22.91	$25.12	$43.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $66.07 / $208.93	Facility		$29.51	$66.07	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $34.67 / $57.54	Professional		$23.44	$34.67	$57.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $10.23 / $16.22	Professional	26	$6.31	$10.23	$16.22
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $25.12 / $43.65	Professional	TC	$16.22	$25.12	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $43.65 / $53.70	Professional		$32.36	$43.65	$53.70
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.47 / $12.59	Professional	26	$7.76	$10.47	$12.59
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $32.36 / $40.74	Professional	TC	$24.55	$32.36	$40.74
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	TC	$30.90	$30.90	$30.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.88 / $61.66	Professional		$21.88	$33.88	$61.66
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.55 / $16.60	Professional	26	$7.08	$9.55	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $24.55 / $45.71	Professional	TC	$14.45	$24.55	$45.71
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $181.97 / $316.23	Facility		$95.50	$181.97	$316.23
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $120.23 / $223.87 / $407.38	Facility	TC	$120.23	$223.87	$407.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $37.15 / $43.65	Professional		$34.67	$37.15	$43.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $9.77 / $16.22	Professional	26	$8.13	$9.77	$16.22
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Professional	50	$75.86	$75.86	$75.86
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $33.11 / $42.66	Professional	TC	$28.84	$33.11	$42.66
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $85.11 / $186.21	Facility		$58.88	$85.11	$186.21
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $34.67 / $77.62 / $177.83	Facility	TC	$34.67	$77.62	$177.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $39.81 / $45.71	Professional		$33.88	$39.81	$45.71
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $12.59	Professional	26	$9.55	$9.55	$12.59
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $93.33 / $269.15	Facility		$28.84	$93.33	$269.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $9.55 / $19.50	Facility	26	$6.92	$9.55	$19.50
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $30.20 / $72.44	Facility	TC	$20.42	$30.20	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $36.31 / $66.07	Professional		$25.12	$36.31	$66.07
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.12 / $17.38	Professional	26	$6.31	$9.12	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $26.92 / $48.98	Professional	TC	$18.20	$26.92	$48.98
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,023.29 / $1,258.93	Facility		$1,000.00	$1,023.29	$1,258.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $38.90 / $60.26	Professional		$14.45	$38.90	$60.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $19.05 / $35.48	Facility		$16.60	$19.05	$35.48
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $7.59 / $9.55	Facility	26	$7.59	$7.59	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $19.50 / $22.91	Facility	TC	$19.50	$19.50	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $18.62 / $38.90	Professional		$15.49	$18.62	$38.90
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $7.59 / $9.55	Professional	26	$7.41	$7.59	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $22.39 / $25.12	Professional	TC	$19.50	$22.39	$25.12
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 $23.99 / $32.36 / $63.10	Professional		$23.99	$32.36	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.33 / $28.84	Professional	26	$6.46	$9.33	$28.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $24.55 / $48.98	Professional	TC	$16.98	$24.55	$48.98

Pennsylvania rates for HCPCS 73590