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 $12.02 / $26.30 / $46.77	Facility	26	$12.02	$26.30	$46.77
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.88 / $100.00 / $354.81	Facility	TC	$33.88	$100.00	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $44.67 / $154.88	Professional		$32.36	$44.67	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.60 / $35.48	Professional	26	$10.96	$16.60	$35.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $28.84 / $64.57	Professional	TC	$21.88	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $38.90	Professional		$23.99	$23.99	$38.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $13.18	Professional	26	$12.02	$12.02	$13.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	TC	$22.39	$22.39	$22.39
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $64.57	Professional		$53.70	$53.70	$64.57
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $15.85 / $19.05	Professional	26	$15.85	$15.85	$19.05
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $112.20 / $158.49 / $223.87	Facility	TC	$112.20	$158.49	$223.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $72.44	Professional		$41.69	$48.98	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $16.60 / $25.70	Professional	26	$12.88	$16.60	$25.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $30.90 / $50.12	Professional	TC	$28.84	$30.90	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $48.98 / $79.43	Professional		$31.62	$48.98	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $16.60 / $26.30	Professional	26	$9.77	$16.60	$26.30
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $32.36 / $56.23	Professional	TC	$21.88	$32.36	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $70.79	Professional		$43.65	$58.88	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.98 / $19.95	Professional	26	$12.59	$16.98	$19.95
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $40.74 / $51.29	Professional	TC	$30.90	$40.74	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $81.28	Professional		$30.20	$44.67	$81.28
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.79 / $26.30	Professional	26	$10.96	$14.79	$26.30
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $57.54	Professional	TC	$19.05	$30.90	$57.54
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $190.55 / $380.19 / $645.65	Facility	TC	$190.55	$380.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $47.86 / $75.86	Professional		$43.65	$47.86	$75.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.80 / $15.85	Professional	26	$13.18	$13.80	$15.85
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $134.90	Professional		$47.86	$64.57	$134.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.85 / $20.42	Professional	26	$14.79	$15.85	$20.42
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $45.71	Facility	26	$12.02	$19.05	$45.71
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $46.77 / $117.49	Facility	TC	$27.54	$46.77	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $45.71 / $95.50	Professional		$34.67	$45.71	$95.50
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $28.18	Professional	26	$10.47	$14.13	$28.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $31.62 / $66.07	Professional	TC	$22.91	$31.62	$66.07
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $48.98 / $75.86	Professional		$13.18	$48.98	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $15.14 / $15.14	Facility	26	$12.59	$15.14	$15.14
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $28.84	Facility	TC	$26.30	$26.30	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $81.28	Professional		$23.99	$32.36	$81.28
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.88 / $15.14	Professional	26	$12.30	$12.88	$15.14
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $28.18 / $31.62	Professional	TC	$26.30	$28.18	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $83.18	Professional		$33.11	$44.67	$83.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.14 / $30.20	Professional	26	$10.72	$15.14	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.90 / $60.26	Professional	TC	$21.88	$30.90	$60.26

Pennsylvania rates for HCPCS 74021