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 $69.18 / $138.04 / $416.87	Facility	26	$69.18	$138.04	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $426.58 / $1,380.38	Professional		$204.17	$426.58	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $123.03 / $257.04	Professional	26	$69.18	$123.03	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $257.04 / $562.34	Professional	TC	$131.83	$257.04	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $97.72 / $128.82	Professional	26	$45.71	$97.72	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $478.63	Professional		$263.03	$263.03	$478.63
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $81.28 / $104.71	Professional	26	$75.86	$81.28	$104.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $295.12 / $776.25	Professional		$194.98	$295.12	$776.25
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $91.20 / $169.82	Professional	26	$69.18	$91.20	$169.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $204.17 / $707.95	Professional	TC	$123.03	$204.17	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $426.58 / $741.31	Professional		$208.93	$426.58	$741.31
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $87.10 / $141.25	Professional	26	$52.48	$87.10	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $309.03 / $616.60	Professional	TC	$138.04	$309.03	$616.60
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $331.13	Professional		$199.53	$269.15	$331.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $91.20 / $107.15	Professional	26	$67.61	$91.20	$107.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $173.78 / $218.78	Professional	TC	$131.83	$173.78	$218.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $316.23 / $630.96	Professional		$199.53	$316.23	$630.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $144.54	Professional	26	$58.88	$81.28	$144.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $251.19 / $446.68	Professional	TC	$128.82	$251.19	$446.68
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $251.19 / $645.65	Professional		$223.87	$251.19	$645.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $85.11 / $120.23	Professional	26	$77.62	$85.11	$120.23
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $239.88	Professional	TC	$190.55	$190.55	$239.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $331.13 / $2,041.74	Professional		$213.80	$331.13	$2,041.74
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $81.28 / $109.65	Professional	26	$72.44	$81.28	$109.65
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $102.33 / $281.84	Facility	26	$69.18	$102.33	$281.84
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $426.58 / $870.96	Professional		$223.87	$426.58	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $123.03 / $213.80	Professional	26	$72.44	$123.03	$213.80
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $281.84 / $616.60	Professional	TC	$144.54	$281.84	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $524.81 / $776.25	Professional		$117.49	$524.81	$776.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $89.13 / $89.13	Facility	26	$69.18	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $302.00 / $407.38	Professional		$194.98	$302.00	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $69.18 / $89.13	Professional	26	$66.07	$69.18	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $128.82 / $426.58	Professional	TC	$125.89	$128.82	$426.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $302.00 / $630.96	Professional		$186.21	$302.00	$630.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $147.91	Professional	26	$58.88	$81.28	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $199.53 / $524.81	Professional	TC	$125.89	$199.53	$524.81

Pennsylvania rates for HCPCS 74181