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 $50.12 / $194.98 / $426.58	Facility		$50.12	$194.98	$426.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $13.18 / $25.12	Facility	26	$6.61	$13.18	$25.12
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.38 / $93.33 / $436.52	Facility	TC	$21.38	$93.33	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $36.31 / $109.65	Professional		$16.60	$36.31	$109.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $15.85 / $42.66	Professional	26	$6.76	$15.85	$42.66
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $75.86 / $169.82	Professional	50	$38.90	$75.86	$169.82
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $17.38 / $23.44 / $158.49	Professional	52	$17.38	$23.44	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.12 / $57.54	Professional	TC	$15.85	$25.12	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $22.91 / $28.84	Professional		$16.22	$22.91	$28.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.09 / $9.33 / $15.14	Professional	26	$2.09	$9.33	$15.14
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $28.84 / $28.84 / $28.84	Professional	50	$28.84	$28.84	$28.84
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $18.62 / $19.50	Professional	TC	$15.85	$18.62	$19.50
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $45.71	Professional		$35.48	$35.48	$45.71
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $11.75	Professional	26	$9.12	$9.12	$11.75
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $123.03 / $57,543.99	Facility		$112.20	$123.03	$57,543.99
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $75.86 / $107.15 / $154.88	Facility	TC	$75.86	$107.15	$154.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $32.36 / $58.88	Professional		$27.54	$32.36	$58.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $9.77 / $18.62	Professional	26	$7.41	$9.77	$18.62
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $64.57 / $117.49	Professional	50	$54.95	$64.57	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $22.91 / $40.74	Professional	TC	$19.95	$22.91	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $57.54 / $208.93	Facility		$26.92	$57.54	$208.93
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $32.36 / $52.48	Professional		$21.88	$32.36	$52.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $9.33 / $15.14	Professional	26	$6.03	$9.33	$15.14
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $23.44 / $39.81	Professional	TC	$15.49	$23.44	$39.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $39.81 / $48.98	Professional		$29.51	$39.81	$48.98
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 $21.88 / $28.84 / $36.31	Professional	TC	$21.88	$28.84	$36.31
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 / $31.62 / $56.23	Professional		$20.42	$31.62	$56.23
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.12 / $16.60	Professional	26	$6.46	$9.12	$16.60
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $22.39 / $41.69	Professional	TC	$13.80	$22.39	$41.69
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $186.21 / $302.00	Facility		$93.33	$186.21	$302.00
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $162.18 / $524.81	Facility	TC	$123.03	$162.18	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $36.31	Professional		$30.90	$33.88	$36.31
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $8.91 / $16.98	Professional	26	$7.59	$8.91	$16.98
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $69.18 / $72.44 / $81.28	Professional	50	$69.18	$72.44	$81.28
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $25.70 / $36.31	Professional	TC	$22.91	$25.70	$36.31
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $812.83	Facility		$56.23	$89.13	$812.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $35.48 / $60.26	Professional		$28.84	$35.48	$60.26
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $12.02	Professional	26	$9.12	$9.12	$12.02
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $91.20 / $457.09	Facility		$25.70	$91.20	$457.09
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $10.23 / $21.38	Facility	26	$6.61	$10.23	$21.38
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $17.78 / $29.51 / $66.07	Facility	TC	$17.78	$29.51	$66.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $32.36 / $61.66	Professional		$22.91	$32.36	$61.66
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.71 / $16.60	Professional	26	$6.03	$8.71	$16.60
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.44 / $45.71	Professional	TC	$16.98	$23.44	$45.71
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $141.25 / $194.98	Facility		$134.90	$141.25	$194.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $37.15 / $58.88	Professional		$14.45	$37.15	$58.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $18.62 / $28.18	Facility		$9.77	$18.62	$28.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $7.24 / $8.51	Facility	26	$7.24	$7.24	$8.51
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $19.95 / $19.95	Facility	TC	$19.50	$19.95	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $18.62 / $29.51	Professional		$11.22	$18.62	$29.51
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.41 / $7.59	Professional	26	$7.08	$7.41	$7.59
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $19.95 / $21.88	Professional	TC	$19.50	$19.95	$21.88
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 $22.39 / $29.51 / $57.54	Professional		$22.39	$29.51	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.71 / $20.89	Professional	26	$6.17	$8.71	$20.89
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	50	$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $21.88 / $42.66	Professional	TC	$15.85	$21.88	$42.66

Pennsylvania rates for HCPCS 73620