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 $10.00 / $19.50 / $38.02	Facility	26	$10.00	$19.50	$38.02
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $102.33 / $398.11	Facility	TC	$26.30	$102.33	$398.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $48.98 / $177.83	Professional		$30.20	$48.98	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.22 / $39.81	Professional	26	$10.00	$16.22	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $27.54 / $64.57	Professional	TC	$19.05	$27.54	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $23.99 / $53.70	Professional		$20.42	$23.99	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $15.49 / $17.38	Professional	26	$7.41	$15.49	$17.38
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $26.92	Professional	TC	$22.39	$22.39	$26.92
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $13.80 / $17.78	Professional	26	$13.80	$13.80	$17.78
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $194.98	Facility	TC	$95.50	$134.90	$194.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $41.69 / $63.10	Professional		$35.48	$41.69	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $21.88	Professional	26	$10.96	$14.13	$21.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $27.54 / $43.65	Professional	TC	$24.55	$27.54	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $41.69 / $67.61	Professional		$26.92	$41.69	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.13 / $22.39	Professional	26	$8.51	$14.13	$22.39
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $27.54 / $46.77	Professional	TC	$18.62	$27.54	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $50.12 / $61.66	Professional		$37.15	$50.12	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $14.45 / $17.38	Professional	26	$10.72	$14.45	$17.38
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $43.65	Professional	TC	$26.30	$34.67	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.02 / $70.79	Professional		$25.70	$38.02	$70.79
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $22.91	Professional	26	$9.33	$12.59	$22.91
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $26.30 / $48.98	Professional	TC	$16.60	$26.30	$48.98
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $380.19 / $645.65	Facility	TC	$147.91	$380.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $43.65 / $45.71	Professional		$40.74	$43.65	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $12.59 / $18.20	Professional	26	$11.75	$12.59	$18.20
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $28.84	Professional	TC	$23.99	$23.99	$28.84
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Facility	TC	$436.52	$436.52	$436.52
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $13.80 / $18.20	Professional	26	$13.80	$13.80	$18.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $14.45 / $32.36	Facility	26	$10.00	$14.45	$32.36
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.39 / $37.15 / $100.00	Facility	TC	$22.39	$37.15	$100.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $79.43	Professional		$30.20	$40.74	$79.43
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $23.44	Professional	26	$8.91	$12.59	$23.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $27.54 / $56.23	Professional	TC	$19.95	$27.54	$56.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $41.69 / $64.57	Professional		$11.48	$41.69	$64.57
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $10.96 / $12.88	Facility	26	$10.96	$10.96	$12.88
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.91 / $22.91 / $24.55	Facility	TC	$22.91	$22.91	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $35.48 / $56.23	Professional		$10.00	$35.48	$56.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $10.96 / $12.88	Professional	26	$10.72	$10.96	$12.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $24.55 / $26.92	Professional	TC	$22.91	$24.55	$26.92
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.02 / $72.44	Professional		$28.84	$38.02	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $13.18 / $28.18	Professional	26	$9.12	$13.18	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $51.29	Professional	TC	$19.05	$26.30	$51.29

Pennsylvania rates for HCPCS 74019