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 $89.13 / $181.97 / $316.23	Facility	26	$89.13	$181.97	$316.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $338.84 / $933.25	Professional		$245.47	$338.84	$933.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $112.20 / $275.42	Professional	26	$70.79	$112.20	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $223.87 / $562.34	Professional	TC	$162.18	$223.87	$562.34
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional		$389.05	$389.05	$389.05
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $114.82 / $218.78	Professional	26	$85.11	$114.82	$218.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $724.44	Professional	TC	$173.78	$181.97	$724.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $489.78 / $870.96	Professional		$295.12	$489.78	$870.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $107.15 / $177.83	Professional	26	$64.57	$107.15	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $354.81 / $645.65	Professional	TC	$204.17	$354.81	$645.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $446.68	Professional		$269.15	$363.08	$446.68
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $112.20 / $134.90	Professional	26	$83.18	$112.20	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $257.04 / $371.54	Professional	TC	$190.55	$257.04	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $389.05 / $630.96	Professional		$269.15	$389.05	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $104.71 / $181.97	Professional	26	$75.86	$104.71	$181.97
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $275.42 / $467.74	Professional	TC	$181.97	$275.42	$467.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $407.38 / $407.38	Professional		$363.08	$407.38	$407.38
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $102.33 / $131.83	Professional	26	$95.50	$102.33	$131.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $128.82 / $309.03	Facility	26	$81.28	$128.82	$309.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $380.19 / $758.58	Professional		$257.04	$380.19	$758.58
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $107.15 / $199.53	Professional	26	$77.62	$107.15	$199.53
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $251.19 / $575.44	Professional	TC	$169.82	$251.19	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $323.59 / $707.95	Professional		$93.33	$323.59	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $97.72	Facility	26	$85.11	$85.11	$97.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $251.19 / $309.03	Professional		$181.97	$251.19	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $85.11 / $87.10	Professional	26	$83.18	$85.11	$87.10
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $186.21	Professional	TC	$165.96	$169.82	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $724.44	Professional		$263.03	$407.38	$724.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $100.00 / $181.97	Professional	26	$75.86	$100.00	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $288.40 / $575.44	Professional	TC	$190.55	$288.40	$575.44

Pennsylvania rates for HCPCS 74175