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 $22.91 / $45.71 / $87.10	Facility	26	$22.91	$45.71	$87.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $338.84	Professional		$91.20	$131.83	$338.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $38.02 / $91.20	Professional	26	$22.91	$38.02	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $97.72 / $169.82	Professional	TC	$67.61	$97.72	$169.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $36.31 / $39.81	Professional	26	$22.39	$36.31	$39.81
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $40.74	Professional	26	$31.62	$31.62	$40.74
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $204.17	Professional		$151.36	$151.36	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $31.62 / $61.66	Professional	26	$25.12	$31.62	$61.66
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $95.50 / $177.83	Professional	TC	$83.18	$95.50	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $234.42	Professional		$83.18	$123.03	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $31.62 / $51.29	Professional	26	$19.95	$31.62	$51.29
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $93.33 / $186.21	Professional	TC	$54.95	$93.33	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $165.96 / $204.17	Professional		$123.03	$165.96	$204.17
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $33.88 / $40.74	Professional	26	$25.12	$33.88	$40.74
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $131.83 / $165.96	Professional	TC	$100.00	$131.83	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $125.89 / $229.09	Professional		$58.88	$125.89	$229.09
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $30.20 / $53.70	Professional	26	$21.38	$30.20	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $95.50 / $173.78	Professional	TC	$38.02	$95.50	$173.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $151.36 / $154.88	Professional		$147.91	$151.36	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $29.51 / $42.66	Professional	26	$27.54	$29.51	$42.66
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $40.74	Professional	26	$31.62	$31.62	$40.74
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $33.11 / $60.26	Facility	26	$22.91	$33.11	$60.26
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $138.04 / $275.42	Professional		$97.72	$138.04	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $30.20 / $58.88	Professional	26	$21.38	$30.20	$58.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $107.15 / $218.78	Professional	TC	$70.79	$107.15	$218.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $144.54 / $234.42	Professional		$102.33	$144.54	$234.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $32.36	Facility	26	$25.12	$25.12	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $75.86 / $123.03	Professional		$14.13	$75.86	$123.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $32.36	Professional	26	$24.55	$25.12	$32.36
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $95.50 / $107.15	Professional	TC	$51.29	$95.50	$107.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $245.47	Professional		$75.86	$125.89	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $29.51 / $58.88	Professional	26	$20.89	$29.51	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $102.33 / $194.98	Professional	TC	$53.70	$102.33	$194.98

Pennsylvania rates for HCPCS 74230