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 $60.26 / $199.53 / $407.38	Facility		$60.26	$199.53	$407.38
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $15.49 / $31.62	Facility	26	$7.76	$15.49	$31.62
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $97.72 / $338.84	Facility	TC	$23.99	$97.72	$338.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $44.67 / $117.49	Professional		$23.99	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $30.90	Professional	26	$7.94	$11.48	$30.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $24.55 / $56.23	Professional	TC	$16.60	$24.55	$56.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $40.74	Professional		$19.95	$25.70	$40.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.59 / $14.13	Professional	26	$7.94	$12.59	$14.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $19.05 / $37.15	Professional	TC	$15.85	$19.05	$37.15
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $87.10 / $660.69	Facility		$36.31	$87.10	$660.69
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Facility	TC	$676.08	$676.08	$676.08
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $14.79	Professional	26	$10.96	$10.96	$14.79
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $5,011.87 / $57,543.99	Facility		$79.43	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $79.43 / $112.20 / $162.18	Facility	TC	$79.43	$112.20	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $35.48 / $50.12	Professional		$28.84	$35.48	$50.12
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.48 / $17.38	Professional	26	$8.71	$11.48	$17.38
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $24.55 / $35.48	Professional	TC	$20.42	$24.55	$35.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $60.26 / $223.87	Facility		$40.74	$60.26	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.88 / $54.95	Professional		$21.88	$33.88	$54.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $11.22 / $17.78	Professional	26	$6.61	$11.22	$17.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.91 / $38.90	Professional	TC	$15.49	$22.91	$38.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $51.29	Professional		$30.90	$40.74	$51.29
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $11.75 / $14.13	Professional	26	$8.71	$11.75	$14.13
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 Professional Modifier Typical Low / Median / Typical High $21.38 / $30.90 / $57.54	Professional		$21.38	$30.90	$57.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.00 / $18.62	Professional	26	$7.41	$10.00	$18.62
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $21.88 / $40.74	Professional	TC	$13.80	$21.88	$40.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $186.21 / $316.23	Facility		$53.70	$186.21	$316.23
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $251.19 / $407.38	Facility	TC	$123.03	$251.19	$407.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $38.02	Professional		$30.90	$33.88	$38.02
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $10.23 / $15.49	Professional	26	$9.12	$10.23	$15.49
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $26.30 / $37.15	Professional	TC	$23.44	$26.30	$37.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $89.13 / $660.69	Facility		$69.18	$89.13	$660.69
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Facility	TC	$676.08	$676.08	$676.08
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.96 / $14.45	Professional	26	$10.47	$10.96	$14.45
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $165.96 / $426.58	Facility		$30.20	$165.96	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $11.48 / $20.42	Facility	26	$7.76	$11.48	$20.42
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.62 / $30.20 / $144.54	Facility	TC	$18.62	$30.20	$144.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.11 / $63.10	Professional		$23.99	$33.11	$63.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.00 / $18.62	Professional	26	$7.08	$10.00	$18.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $22.91 / $43.65	Professional	TC	$16.60	$22.91	$43.65
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $676.08 / $1,096.48	Facility		$645.65	$676.08	$1,096.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $34.67 / $53.70	Professional		$9.33	$34.67	$53.70
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $27.54 / $70.79	Facility		$17.38	$27.54	$70.79
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $10.00 / $10.00	Facility	26	$8.71	$10.00	$10.00
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.05 / $19.05 / $20.42	Facility	TC	$19.05	$19.05	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $25.12 / $56.23	Professional		$16.60	$25.12	$56.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.71 / $10.00	Professional	26	$8.32	$8.71	$10.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.95 / $22.39	Professional	TC	$19.05	$19.95	$22.39
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 $23.44 / $31.62 / $63.10	Professional		$23.44	$31.62	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.47 / $30.20	Professional	26	$7.41	$10.47	$30.20
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 74018