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 $102.33 / $190.55 / $426.58	Facility	26	$102.33	$190.55	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $446.68 / $1,479.11	Professional		$204.17	$446.68	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $181.97 / $467.74	Professional	26	$100.00	$181.97	$467.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $338.84 / $870.96	Professional	TC	$245.47	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $147.91 / $158.49	Professional	26	$67.61	$147.91	$158.49
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $616.60	Professional		$478.63	$478.63	$616.60
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $162.18	Professional	26	$125.89	$125.89	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $524.81 / $1,202.26	Professional		$363.08	$524.81	$1,202.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $134.90 / $251.19	Professional	26	$112.20	$134.90	$251.19
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $371.54 / $1,096.48	Professional	TC	$251.19	$371.54	$1,096.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $676.08 / $1,318.26	Professional		$346.74	$676.08	$1,318.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $125.89 / $204.17	Professional	26	$77.62	$125.89	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $524.81 / $1,122.02	Professional	TC	$245.47	$524.81	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $478.63 / $1,412.54	Professional		$346.74	$478.63	$1,412.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $134.90 / $162.18	Professional	26	$100.00	$134.90	$162.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $323.59 / $407.38	Professional	TC	$245.47	$323.59	$407.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $537.03 / $1,023.29	Professional		$346.74	$537.03	$1,023.29
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $120.23 / $213.80	Professional	26	$87.10	$120.23	$213.80
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $371.54 / $831.76	Professional	TC	$239.88	$371.54	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $416.87 / $724.44	Professional		$389.05	$416.87	$724.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $123.03 / $177.83	Professional	26	$112.20	$123.03	$177.83
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $616.60	Professional		$389.05	$478.63	$616.60
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $125.89 / $165.96	Professional	26	$114.82	$125.89	$165.96
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $281.84	Facility	26	$102.33	$138.04	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $1,071.52	Professional		$371.54	$524.81	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $144.54 / $257.04	Professional	26	$102.33	$144.54	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $371.54 / $812.83	Professional	TC	$251.19	$371.54	$812.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $707.95 / $1,023.29	Professional		$186.21	$707.95	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $114.82 / $114.82	Facility	26	$100.00	$114.82	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $323.59 / $478.63	Professional		$165.96	$323.59	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $100.00 / $114.82	Professional	26	$97.72	$100.00	$114.82
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $239.88 / $831.76	Professional	TC	$234.42	$239.88	$831.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $512.86 / $1,174.90	Professional		$316.23	$512.86	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $117.49 / $213.80	Professional	26	$87.10	$117.49	$213.80
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $363.08 / $1,023.29	Professional	TC	$229.09	$363.08	$1,023.29

Pennsylvania rates for HCPCS 73720