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 $14.13 / $28.84 / $51.29	Facility	26	$14.13	$28.84	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $186.21	Professional		$40.74	$63.10	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $24.55 / $52.48	Professional	26	$12.88	$24.55	$52.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $36.31 / $69.18	Professional	TC	$25.70	$36.31	$69.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $21.88 / $23.99	Professional	26	$12.59	$21.88	$23.99
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $51.29	Professional	TC	$30.90	$30.90	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $23.99	Professional	26	$18.62	$18.62	$23.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $56.23 / $97.72	Professional		$48.98	$56.23	$97.72
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $19.50 / $37.15	Professional	26	$15.49	$19.50	$37.15
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $36.31 / $60.26	Professional	TC	$33.11	$36.31	$60.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $56.23 / $91.20	Professional		$37.15	$56.23	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $30.90	Professional	26	$12.02	$19.05	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $38.90 / $64.57	Professional	TC	$25.12	$38.90	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $69.18 / $85.11	Professional		$51.29	$69.18	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.42 / $24.55	Professional	26	$15.14	$20.42	$24.55
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $58.88	Professional	TC	$35.48	$46.77	$58.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $97.72	Professional		$33.88	$53.70	$97.72
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.78 / $32.36	Professional	26	$12.59	$17.78	$32.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $36.31 / $69.18	Professional	TC	$21.38	$36.31	$69.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $61.66	Professional		$54.95	$54.95	$61.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $18.20 / $22.91	Professional	26	$16.22	$18.20	$22.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $42.66	Professional	TC	$41.69	$41.69	$42.66
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $23.99	Professional	26	$18.20	$18.62	$23.99
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $19.50 / $43.65	Facility	26	$13.49	$19.50	$43.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $57.54 / $109.65	Professional		$40.74	$57.54	$109.65
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $33.88	Professional	26	$12.88	$18.20	$33.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.90 / $75.86	Professional	TC	$26.92	$38.90	$75.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $58.88 / $102.33	Professional		$28.18	$58.88	$102.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.14 / $17.38 / $17.38	Facility	26	$15.14	$17.38	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $30.20 / $52.48	Professional		$17.78	$30.20	$52.48
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.49 / $17.38	Professional	26	$14.79	$15.49	$17.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $32.36 / $36.31	Professional	TC	$28.18	$32.36	$36.31
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $95.50	Professional		$38.90	$51.29	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.78 / $35.48	Professional	26	$12.59	$17.78	$35.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $35.48 / $61.66	Professional	TC	$25.70	$35.48	$61.66

Pennsylvania rates for HCPCS 74022