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 $63.10 / $123.03 / $245.47	Facility	26	$63.10	$123.03	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $354.81 / $1,318.26	Professional		$229.09	$354.81	$1,318.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $93.33 / $199.53	Professional	26	$61.66	$93.33	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $229.09 / $549.54	Professional	TC	$162.18	$229.09	$549.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $288.40 / $331.13	Professional		$204.17	$288.40	$331.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $104.71	Professional	26	$61.66	$91.20	$104.71
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $389.05	Professional		$302.00	$302.00	$389.05
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $104.71	Professional	26	$81.28	$81.28	$104.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Professional		$870.96	$870.96	$870.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $85.11 / $162.18	Professional	26	$66.07	$85.11	$162.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $263.03 / $691.83	Professional	TC	$173.78	$263.03	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $416.87 / $707.95	Professional		$245.47	$416.87	$707.95
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $83.18 / $134.90	Professional	26	$51.29	$83.18	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $316.23 / $575.44	Professional	TC	$181.97	$316.23	$575.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $338.84 / $416.87	Professional		$251.19	$338.84	$416.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $87.10 / $104.71	Professional	26	$64.57	$87.10	$104.71
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $245.47 / $309.03	Professional	TC	$186.21	$245.47	$309.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $331.13 / $575.44	Professional		$239.88	$331.13	$575.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $77.62 / $138.04	Professional	26	$56.23	$77.62	$138.04
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $245.47 / $457.09	Professional	TC	$177.83	$245.47	$457.09
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $331.13 / $407.38	Professional		$288.40	$331.13	$407.38
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $77.62 / $100.00	Professional	26	$74.13	$77.62	$100.00
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional	TC	$354.81	$354.81	$354.81
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $302.00 / $389.05	Professional		$281.84	$302.00	$389.05
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $81.28 / $104.71	Professional	26	$77.62	$81.28	$104.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $93.33 / $218.78	Facility	26	$63.10	$93.33	$218.78
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $346.74 / $660.69	Professional		$234.42	$346.74	$660.69
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $83.18 / $147.91	Professional	26	$61.66	$83.18	$147.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $245.47 / $501.19	Professional	TC	$169.82	$245.47	$501.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $323.59 / $549.54	Professional		$72.44	$323.59	$549.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $75.86	Facility	26	$66.07	$66.07	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $245.47 / $371.54	Professional		$64.57	$245.47	$371.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $66.07 / $75.86	Professional	26	$63.10	$66.07	$75.86
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $323.59	Professional	TC	$165.96	$169.82	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $346.74 / $602.56	Professional		$229.09	$346.74	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $77.62 / $138.04	Professional	26	$56.23	$77.62	$138.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $263.03 / $512.86	Professional	TC	$169.82	$263.03	$512.86

Pennsylvania rates for HCPCS 74170