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 $45.71 / $85.11 / $173.78	Facility	26	$45.71	$85.11	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $151.36 / $524.81	Professional		$48.98	$151.36	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $75.86 / $194.98	Professional	26	$44.67	$75.86	$194.98
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $43.65 / $660.69 / $1,513.56	Professional	50	$43.65	$660.69	$1,513.56
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $138.04 / $316.23	Professional	TC	$83.18	$138.04	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $102.33	Professional		$87.10	$87.10	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $67.61 / $74.13	Professional	26	$35.48	$67.61	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $213.80	Professional		$165.96	$165.96	$213.80
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $74.13	Professional	26	$56.23	$58.88	$74.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $169.82 / $426.58	Professional		$128.82	$169.82	$426.58
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $123.03	Professional	26	$46.77	$63.10	$123.03
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $257.04 / $338.84 / $851.14	Professional	50	$257.04	$338.84	$851.14
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $107.15 / $398.11	Professional	TC	$81.28	$107.15	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $245.47 / $416.87	Professional		$134.90	$245.47	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $63.10 / $97.72	Professional	26	$36.31	$63.10	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $165.96 / $309.03	Professional	TC	$87.10	$165.96	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $218.78	Professional		$134.90	$181.97	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $75.86	Professional	26	$46.77	$63.10	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $120.23 / $173.78	Professional	TC	$89.13	$120.23	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $186.21 / $363.08	Professional		$134.90	$186.21	$363.08
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $57.54 / $100.00	Professional	26	$43.65	$57.54	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $134.90 / $269.15	Professional	TC	$85.11	$134.90	$269.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $165.96 / $173.78	Professional		$151.36	$165.96	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $58.88 / $81.28	Professional	26	$52.48	$58.88	$81.28
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	50	$109.65	$109.65	$109.65
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $151.36 / $204.17	Professional	TC	$125.89	$151.36	$204.17
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $165.96 / $213.80	Professional		$147.91	$165.96	$213.80
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $75.86	Professional	26	$56.23	$58.88	$75.86
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $114.82	Facility	26	$45.71	$63.10	$114.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $213.80 / $416.87	Professional		$134.90	$213.80	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $60.26 / $112.20	Professional	26	$45.71	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $141.25 / $295.12	Professional	TC	$85.11	$141.25	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $302.00 / $389.05	Professional		$77.62	$302.00	$389.05
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $57.54	Facility	26	$46.77	$46.77	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $181.97	Professional		$120.23	$158.49	$181.97
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $57.54	Professional	26	$45.71	$46.77	$57.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $83.18 / $190.55	Professional	TC	$81.28	$83.18	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $354.81	Professional		$125.89	$199.53	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $100.00	Professional	26	$41.69	$57.54	$100.00
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Professional	50	$97.72	$97.72	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $131.83 / $263.03	Professional	TC	$85.11	$131.83	$263.03

Pennsylvania rates for HCPCS 73700