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 $39.81 / $75.86 / $138.04	Facility	26	$39.81	$75.86	$138.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $426.58	Professional		$109.65	$147.91	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $61.66 / $117.49	Professional	26	$33.88	$61.66	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $100.00 / $194.98	Professional	TC	$75.86	$100.00	$194.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $58.88 / $66.07	Professional	26	$48.98	$58.88	$66.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $63.10	Professional	26	$52.48	$52.48	$63.10
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $165.96 / $239.88	Professional		$131.83	$165.96	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $81.28	Professional	26	$42.66	$43.65	$81.28
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $104.71 / $165.96	Professional	TC	$89.13	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $263.03	Professional		$100.00	$151.36	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $44.67 / $79.43	Professional	26	$30.20	$44.67	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $109.65 / $186.21	Professional	TC	$69.18	$109.65	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $229.09	Professional		$138.04	$186.21	$229.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $56.23 / $67.61	Professional	26	$42.66	$56.23	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $128.82 / $158.49	Professional	TC	$97.72	$128.82	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $141.25 / $257.04	Professional		$75.86	$141.25	$257.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $44.67 / $77.62	Professional	26	$28.18	$44.67	$77.62
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $95.50 / $186.21	Professional	TC	$47.86	$95.50	$186.21
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $173.78	Professional		$162.18	$169.82	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $60.26	Professional	26	$42.66	$46.77	$60.26
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $52.48 / $64.57	Professional	26	$45.71	$52.48	$64.57
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $61.66 / $112.20	Facility	26	$38.02	$61.66	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $302.00	Professional		$114.82	$154.88	$302.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $89.13	Professional	26	$30.90	$45.71	$89.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $109.65 / $208.93	Professional	TC	$79.43	$109.65	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $204.17 / $309.03	Professional		$131.83	$204.17	$309.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $41.69	Facility	26	$38.02	$38.02	$41.69
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $109.65 / $524.81	Professional		$53.70	$109.65	$524.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $41.69 / $43.65	Professional	26	$38.02	$41.69	$43.65
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $93.33 / $112.20	Professional	TC	$91.20	$93.33	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $263.03	Professional		$95.50	$141.25	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $89.13	Professional	26	$30.90	$45.71	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $97.72 / $177.83	Professional	TC	$67.61	$97.72	$177.83

Pennsylvania rates for HCPCS 74246