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 $56.23 / $208.93 / $457.09	Facility		$56.23	$208.93	$457.09
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $14.13 / $27.54	Facility	26	$6.92	$14.13	$27.54
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.12 / $95.50 / $389.05	Facility	TC	$25.12	$95.50	$389.05
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $33.11 / $93.33	Professional		$11.75	$33.11	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $13.18 / $35.48	Professional	26	$7.08	$13.18	$35.48
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $35.48 / $66.07 / $177.83	Professional	50	$35.48	$66.07	$177.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.22 / $22.91 / $107.15	Professional	52	$16.22	$22.91	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $50.12	Professional	TC	$19.05	$28.18	$50.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $25.12 / $38.02	Professional		$7.76	$25.12	$38.02
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.00 / $12.02	Professional	26	$6.61	$10.00	$12.02
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	50	$32.36	$32.36	$32.36
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $21.88 / $22.39	Professional	TC	$15.85	$21.88	$22.39
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $40.74 / $54.95	Professional		$37.15	$40.74	$54.95
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $40.74	Professional	26	$10.00	$10.00	$40.74
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $8,511.38 / $77,624.71	Facility		$60.26	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $79.43 / $112.20 / $162.18	Facility	TC	$79.43	$112.20	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $37.15 / $58.88	Professional		$30.90	$37.15	$58.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.00 / $18.62	Professional	26	$7.76	$10.00	$18.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $61.66 / $74.13 / $117.49	Professional	50	$61.66	$74.13	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $26.92 / $40.74	Professional	TC	$23.44	$26.92	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $67.61 / $208.93	Facility		$30.90	$67.61	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $35.48 / $58.88	Professional		$23.44	$35.48	$58.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $9.77 / $15.49	Professional	26	$6.17	$9.77	$15.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.12 / $44.67	Professional	TC	$17.38	$25.12	$44.67
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $44.67 / $54.95	Professional		$33.88	$44.67	$54.95
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $10.96 / $13.18	Professional	26	$8.13	$10.96	$13.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $33.11 / $42.66	Professional	TC	$25.70	$33.11	$42.66
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Facility	TC	$28.84	$28.84	$28.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $33.88 / $61.66	Professional		$20.42	$33.88	$61.66
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.33 / $16.60	Professional	26	$6.46	$9.33	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $25.12 / $46.77	Professional	TC	$13.80	$25.12	$46.77
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $181.97 / $331.13	Facility		$102.33	$181.97	$331.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $165.96 / $524.81	Facility	TC	$123.03	$165.96	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $35.48 / $40.74	Professional		$32.36	$35.48	$40.74
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.12 / $14.45	Professional	26	$7.76	$9.12	$14.45
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $89.13 / $91.20	Professional	50	$77.62	$89.13	$91.20
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $4.27 / $4.27 / $17.78	Professional	52	$4.27	$4.27	$17.78
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $83.18 / $831.76	Facility		$58.88	$83.18	$831.76
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $40.74 / $43.65	Professional		$38.90	$40.74	$43.65
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.00 / $40.74	Professional	26	$10.00	$10.00	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $66.07 / $275.42	Facility		$29.51	$66.07	$275.42
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $10.72 / $22.39	Facility	26	$6.92	$10.72	$22.39
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.89 / $35.48 / $104.71	Facility	TC	$20.89	$35.48	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $37.15 / $67.61	Professional		$25.70	$37.15	$67.61
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $9.55 / $17.38	Professional	26	$6.31	$9.55	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.92 / $51.29	Professional	TC	$19.05	$26.92	$51.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $213.80 / $302.00	Facility		$177.83	$213.80	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $37.15 / $63.10	Professional		$15.14	$37.15	$63.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.63 / $19.05 / $31.62	Facility		$3.63	$19.05	$31.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $8.51	Facility	26	$7.94	$7.94	$8.51
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $19.50 / $23.44	Facility	TC	$19.50	$19.50	$23.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $19.05 / $33.11	Professional		$8.51	$19.05	$33.11
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $8.51	Professional	26	$7.76	$7.94	$8.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $23.44 / $25.70	Professional	TC	$19.50	$23.44	$25.70
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 $23.44 / $33.11 / $64.57	Professional		$23.44	$33.11	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $20.89	Professional	26	$6.61	$9.33	$20.89
United Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	52	$60.26	$60.26	$60.26
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 73600