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 $67.61 / $218.78 / $524.81	Facility		$67.61	$218.78	$524.81
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $14.79 / $30.90	Facility	26	$7.59	$14.79	$30.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $147.91 / $478.63	Facility	TC	$33.88	$147.91	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $38.02 / $112.20	Professional		$10.47	$38.02	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.14 / $43.65	Professional	26	$7.94	$15.14	$43.65
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $40.74 / $91.20 / $208.93	Professional	50	$40.74	$91.20	$208.93
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	52	$125.89	$125.89	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $83.18	Professional	TC	$22.91	$38.90	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $33.88 / $56.23	Professional		$23.44	$33.88	$56.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $12.02 / $15.85	Professional	26	$6.92	$12.02	$15.85
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $37.15 / $63.10 / $81.28	Professional	50	$37.15	$63.10	$81.28
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $40.74	Professional	TC	$19.05	$28.18	$40.74
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $75.86 / $1,995.26	Facility		$34.67	$75.86	$1,995.26
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $75.86 / $1,174.90	Facility	TC	$31.62	$75.86	$1,174.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $41.69 / $52.48	Professional		$37.15	$41.69	$52.48
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $16.22	Professional	26	$10.47	$10.47	$16.22
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $44.67	Professional	TC	$35.48	$35.48	$44.67
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 $93.33 / $131.83 / $190.55	Facility	TC	$93.33	$131.83	$190.55
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $39.81 / $63.10	Professional		$34.67	$39.81	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.96 / $19.95	Professional	26	$8.32	$10.96	$19.95
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $81.28 / $125.89	Professional	50	$70.79	$81.28	$125.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $29.51 / $47.86	Professional	TC	$26.92	$29.51	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $79.43 / $208.93	Facility		$35.48	$79.43	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.90 / $67.61	Professional		$26.92	$38.90	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.47 / $16.60	Professional	26	$6.76	$10.47	$16.60
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $52.48	Professional	TC	$19.50	$28.84	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $51.29 / $63.10	Professional		$38.02	$51.29	$63.10
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 $30.20 / $39.81 / $50.12	Professional	TC	$30.20	$39.81	$50.12
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility	TC	$32.36	$32.36	$32.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $38.90 / $70.79	Professional		$22.39	$38.90	$70.79
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 $15.14 / $29.51 / $54.95	Professional	TC	$15.14	$29.51	$54.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $186.21 / $288.40	Facility		$100.00	$186.21	$288.40
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $269.15 / $426.58	Facility	TC	$144.54	$269.15	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $42.66 / $50.12	Professional		$37.15	$42.66	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.23 / $16.22	Professional	26	$8.71	$10.23	$16.22
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $93.33 / $104.71	Professional	50	$83.18	$93.33	$104.71
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $34.67 / $48.98	Professional	TC	$33.88	$34.67	$48.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $85.11 / $186.21	Facility		$61.66	$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 $38.90 / $45.71 / $50.12	Professional		$38.90	$45.71	$50.12
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $14.13	Professional	26	$10.47	$10.47	$14.13
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $40.74	Professional	TC	$35.48	$35.48	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $100.00 / $457.09	Facility		$36.31	$100.00	$457.09
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $10.47 / $19.50	Facility	26	$7.59	$10.47	$19.50
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $40.74 / $120.23	Facility	TC	$24.55	$40.74	$120.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $41.69 / $75.86	Professional		$29.51	$41.69	$75.86
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.20	Professional	26	$7.08	$10.00	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $31.62 / $57.54	Professional	TC	$21.88	$31.62	$57.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $2,137.96 / $2,570.40	Facility		$1,047.13	$2,137.96	$2,570.40
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $38.90 / $74.13	Professional		$15.85	$38.90	$74.13
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $19.50 / $30.20	Facility		$16.98	$19.50	$30.20
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $9.55 / $9.55	Facility	26	$8.32	$9.55	$9.55
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $20.42 / $26.92	Facility	TC	$20.42	$20.42	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $19.95 / $34.67	Professional		$16.98	$19.95	$34.67
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.71 / $9.55	Professional	26	$8.13	$8.71	$9.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $26.92 / $30.20	Professional	TC	$20.42	$26.92	$30.20
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 $25.70 / $38.02 / $77.62	Professional		$25.70	$38.02	$77.62
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.00 / $22.39	Professional	26	$6.92	$10.00	$22.39
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.18 / $57.54	Professional	TC	$19.50	$28.18	$57.54

Pennsylvania rates for HCPCS 73610