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 $25.70 / $50.12 / $93.33	Facility	26	$25.70	$50.12	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $302.00	Professional		$77.62	$104.71	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $39.81 / $79.43	Professional	26	$22.91	$39.81	$79.43
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $131.83	Professional	TC	$53.70	$72.44	$131.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $41.69 / $53.70	Professional	26	$22.91	$41.69	$53.70
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $42.66	Professional	26	$36.31	$36.31	$42.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $169.82	Professional		$93.33	$95.50	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $53.70	Professional	26	$28.18	$29.51	$53.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $74.13 / $117.49	Professional	TC	$64.57	$74.13	$117.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $186.21	Professional		$70.79	$104.71	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $29.51 / $54.95	Professional	26	$20.42	$29.51	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $77.62 / $131.83	Professional	TC	$48.98	$77.62	$131.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $158.49	Professional		$97.72	$131.83	$158.49
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $44.67	Professional	26	$28.18	$38.02	$44.67
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $91.20 / $114.82	Professional	TC	$69.18	$91.20	$114.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $100.00 / $181.97	Professional		$53.70	$100.00	$181.97
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $30.20 / $51.29	Professional	26	$18.62	$30.20	$51.29
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $69.18 / $131.83	Professional	TC	$34.67	$69.18	$131.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $117.49 / $123.03	Professional		$112.20	$117.49	$123.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $30.90 / $42.66	Professional	26	$26.92	$30.90	$42.66
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $36.31 / $43.65	Professional	26	$32.36	$36.31	$43.65
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $37.15 / $54.95	Facility	26	$25.70	$37.15	$54.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $208.93	Professional		$81.28	$109.65	$208.93
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $60.26	Professional	26	$21.88	$30.90	$60.26
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $151.36	Professional	TC	$56.23	$77.62	$151.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $93.33 / $199.53	Professional		$51.29	$93.33	$199.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $28.84	Facility	26	$25.12	$25.12	$28.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $75.86 / $257.04	Professional		$21.88	$75.86	$257.04
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $28.84 / $29.51	Professional	26	$25.12	$28.84	$29.51
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $67.61 / $74.13	Professional	TC	$56.23	$67.61	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $97.72 / $181.97	Professional		$66.07	$97.72	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $67.61	Professional	26	$20.89	$30.90	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $69.18 / $125.89	Professional	TC	$48.98	$69.18	$125.89

Pennsylvania rates for HCPCS 74220