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 $35.48 / $69.18 / $123.03	Facility	26	$35.48	$69.18	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $389.05	Professional		$95.50	$131.83	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $60.26 / $117.49	Professional	26	$32.36	$60.26	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $87.10 / $151.36	Professional	TC	$63.10	$87.10	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $60.26	Professional	26	$40.74	$54.95	$60.26
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $56.23	Professional	26	$47.86	$47.86	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $120.23 / $208.93	Professional		$117.49	$120.23	$208.93
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $41.69 / $81.28	Professional	26	$38.02	$41.69	$81.28
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $93.33 / $144.54	Professional	TC	$79.43	$93.33	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $229.09	Professional		$89.13	$134.90	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $42.66 / $72.44	Professional	26	$27.54	$42.66	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $93.33 / $162.18	Professional	TC	$60.26	$93.33	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $208.93	Professional		$125.89	$169.82	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $61.66	Professional	26	$38.02	$51.29	$61.66
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $144.54	Professional	TC	$87.10	$114.82	$144.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $128.82 / $229.09	Professional		$70.79	$128.82	$229.09
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $42.66 / $81.28	Professional	26	$28.18	$42.66	$81.28
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $87.10 / $165.96	Professional	TC	$42.66	$87.10	$165.96
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 $41.69 / $44.67 / $64.57	Professional	26	$41.69	$44.67	$64.57
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $47.86 / $60.26	Professional	26	$43.65	$47.86	$60.26
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $54.95 / $109.65	Facility	26	$35.48	$54.95	$109.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $138.04 / $281.84	Professional		$100.00	$138.04	$281.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $83.18	Professional	26	$30.90	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $95.50 / $190.55	Professional	TC	$69.18	$95.50	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $181.97 / $269.15	Professional		$120.23	$181.97	$269.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Facility	26	$38.02	$38.02	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $70.79 / $181.97	Professional		$45.71	$70.79	$181.97
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $38.90	Professional	26	$37.15	$38.02	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $81.28 / $91.20	Professional	TC	$63.10	$81.28	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $229.09	Professional		$87.10	$123.03	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $43.65 / $81.28	Professional	26	$29.51	$43.65	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $83.18 / $151.36	Professional	TC	$57.54	$83.18	$151.36

Pennsylvania rates for HCPCS 74240