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 $100.00 / $186.21 / $380.19	Facility	26	$100.00	$186.21	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $501.19 / $1,445.44	Professional		$323.59	$501.19	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $138.04 / $309.03	Professional	26	$95.50	$138.04	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $354.81 / $588.84	Professional	TC	$223.87	$354.81	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $147.91 / $162.18	Professional	26	$100.00	$147.91	$162.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $616.60	Professional		$512.86	$512.86	$616.60
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $165.96	Professional	26	$128.82	$128.82	$165.96
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $478.63 / $912.01	Professional		$371.54	$478.63	$912.01
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $134.90 / $208.93	Professional	26	$104.71	$134.90	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $338.84 / $851.14	Professional	TC	$269.15	$338.84	$851.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $588.84 / $1,023.29	Professional		$331.13	$588.84	$1,023.29
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $125.89 / $208.93	Professional	26	$74.13	$125.89	$208.93
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $457.09 / $794.33	Professional	TC	$239.88	$457.09	$794.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $524.81 / $645.65	Professional		$389.05	$524.81	$645.65
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $138.04 / $165.96	Professional	26	$102.33	$138.04	$165.96
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $380.19 / $478.63	Professional	TC	$288.40	$380.19	$478.63
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $524.81 / $891.25	Professional		$371.54	$524.81	$891.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $218.78	Professional	26	$83.18	$112.20	$218.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $380.19 / $645.65	Professional	TC	$281.84	$380.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $478.63 / $512.86	Professional		$436.52	$478.63	$512.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $125.89 / $177.83	Professional	26	$112.20	$125.89	$177.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $512.86 / $660.69	Professional		$436.52	$512.86	$660.69
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $128.82 / $165.96	Professional	26	$123.03	$128.82	$165.96
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $144.54 / $245.47	Facility	26	$100.00	$144.54	$245.47
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $512.86 / $891.25	Professional		$363.08	$512.86	$891.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $223.87	Professional	26	$91.20	$125.89	$223.87
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $380.19 / $676.08	Professional	TC	$257.04	$380.19	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $602.56 / $1,023.29	Professional		$114.82	$602.56	$1,023.29
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $95.50 / $102.33 / $102.33	Facility	26	$95.50	$102.33	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $478.63 / $691.83	Professional		$371.54	$478.63	$691.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $102.33 / $107.15	Professional	26	$95.50	$102.33	$107.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $275.42 / $389.05	Professional	TC	$269.15	$275.42	$389.05
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $501.19 / $831.76	Professional		$331.13	$501.19	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $120.23 / $218.78	Professional	26	$89.13	$120.23	$218.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $380.19 / $660.69	Professional	TC	$251.19	$380.19	$660.69

Pennsylvania rates for HCPCS 74174