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 $66.07 / $169.82 / $467.74	Facility	26	$66.07	$169.82	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $331.13 / $1,258.93	Professional		$89.13	$331.13	$1,258.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $125.89 / $316.23	Professional	26	$64.57	$125.89	$316.23
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $371.54 / $478.63 / $1,949.84	Professional	50	$371.54	$478.63	$1,949.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $31.62 / $102.33 / $190.55	Professional	52	$31.62	$102.33	$190.55
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $295.12 / $676.08	Professional	TC	$141.25	$295.12	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $281.84	Professional		$158.49	$204.17	$281.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $93.33 / $120.23	Professional	26	$47.86	$93.33	$120.23
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $107.15 / $213.80	Professional	TC	$93.33	$107.15	$213.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $501.19	Professional		$281.84	$281.84	$501.19
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $79.43 / $102.33	Professional	26	$75.86	$79.43	$102.33
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $199.53 / $251.19	Professional	TC	$199.53	$199.53	$251.19
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $354.81 / $575.44	Professional		$257.04	$354.81	$575.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $87.10 / $158.49	Professional	26	$81.28	$87.10	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $512.86 / $707.95 / $1,148.15	Professional	50	$512.86	$707.95	$1,148.15
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $251.19 / $707.95	Professional	TC	$173.78	$251.19	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $407.38 / $758.58	Professional		$208.93	$407.38	$758.58
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $81.28 / $131.83	Professional	26	$50.12	$81.28	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $302.00 / $630.96	Professional	TC	$141.25	$302.00	$630.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $288.40 / $954.99	Professional		$208.93	$288.40	$954.99
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $85.11 / $102.33	Professional	26	$63.10	$85.11	$102.33
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $194.98 / $245.47	Professional	TC	$147.91	$194.98	$245.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $323.59 / $588.84	Professional		$190.55	$323.59	$588.84
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $134.90	Professional	26	$54.95	$74.13	$134.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $223.87 / $446.68	Professional	TC	$128.82	$223.87	$446.68
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $239.88 / $436.52	Professional		$218.78	$239.88	$436.52
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $74.13 / $112.20	Professional	26	$67.61	$74.13	$112.20
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $39.81 / $128.82 / $134.90	Professional	52	$39.81	$128.82	$134.90
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $251.19 / $416.87	Professional	TC	$213.80	$251.19	$416.87
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $512.86	Professional		$239.88	$281.84	$512.86
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $79.43 / $102.33	Professional	26	$75.86	$79.43	$102.33
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $199.53 / $257.04	Professional	TC	$165.96	$199.53	$257.04
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $95.50 / $281.84	Facility	26	$66.07	$95.50	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $426.58 / $851.14	Professional		$223.87	$426.58	$851.14
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $112.20 / $194.98	Professional	26	$66.07	$112.20	$194.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $281.84 / $588.84	Professional	TC	$154.88	$281.84	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $407.38 / $707.95	Professional		$117.49	$407.38	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Facility	26	$63.10	$63.10	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $467.74	Professional		$199.53	$302.00	$467.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $63.10 / $89.13	Professional	26	$61.66	$63.10	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $138.04 / $416.87	Professional	TC	$134.90	$138.04	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $302.00 / $660.69	Professional		$190.55	$302.00	$660.69
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $138.04	Professional	26	$54.95	$75.86	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $208.93 / $630.96	Professional	TC	$131.83	$208.93	$630.96

Pennsylvania rates for HCPCS 73721