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 $31.62 / $63.10 / $114.82	Facility	26	$31.62	$63.10	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $114.82 / $346.74	Professional		$91.20	$114.82	$346.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $45.71 / $91.20	Professional	26	$28.84	$45.71	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $79.43 / $138.04	Professional	TC	$61.66	$79.43	$138.04
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $46.77 / $51.29	Professional	26	$38.90	$46.77	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $52.48	Professional	26	$41.69	$41.69	$52.48
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $194.98	Professional		$104.71	$109.65	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $34.67 / $66.07	Professional	26	$33.11	$34.67	$66.07
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $74.13 / $134.90	Professional	TC	$70.79	$74.13	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $128.82 / $208.93	Professional		$81.28	$128.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $41.69 / $66.07	Professional	26	$25.12	$41.69	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $89.13 / $147.91	Professional	TC	$58.88	$89.13	$147.91
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $177.83	Professional		$109.65	$147.91	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $43.65 / $52.48	Professional	26	$32.36	$43.65	$52.48
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $100.00 / $125.89	Professional	TC	$75.86	$100.00	$125.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $117.49 / $218.78	Professional		$91.20	$117.49	$218.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $37.15 / $69.18	Professional	26	$31.62	$37.15	$69.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $147.91	Professional	TC	$56.23	$77.62	$147.91
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $131.83 / $138.04	Professional		$125.89	$131.83	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $37.15 / $50.12	Professional	26	$33.88	$37.15	$50.12
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $52.48 / $251.19	Professional	26	$34.67	$52.48	$251.19
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $48.98 / $114.82	Facility	26	$30.20	$48.98	$114.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $234.42	Professional		$91.20	$120.23	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $69.18	Professional	26	$28.18	$36.31	$69.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $83.18 / $165.96	Professional	TC	$63.10	$83.18	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $128.82 / $204.17	Professional		$53.70	$128.82	$204.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $38.90	Facility	26	$33.11	$33.11	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $63.10 / $165.96	Professional		$13.80	$63.10	$165.96
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $33.11 / $38.90	Professional	26	$32.36	$33.11	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $83.18	Professional	TC	$74.13	$74.13	$83.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $114.82 / $213.80	Professional		$89.13	$114.82	$213.80
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.90 / $70.79	Professional	26	$27.54	$38.90	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $81.28 / $138.04	Professional	TC	$58.88	$81.28	$138.04

Pennsylvania rates for HCPCS 74221