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 $125.89 / $245.47 / $467.74	Facility	26	$125.89	$245.47	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $269.15 / $501.19	Professional		$204.17	$269.15	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $123.03 / $245.47	Professional	26	$83.18	$123.03	$245.47
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $131.83 / $309.03	Professional	TC	$100.00	$131.83	$309.03
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $177.83	Professional	26	$165.96	$165.96	$177.83
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $229.09 / $851.14	Professional		$218.78	$229.09	$851.14
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $117.49 / $239.88	Professional	26	$114.82	$117.49	$239.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $109.65 / $630.96	Professional	TC	$104.71	$109.65	$630.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $512.86 / $912.01	Professional		$295.12	$512.86	$912.01
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $134.90 / $223.87	Professional	26	$79.43	$134.90	$223.87
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $380.19 / $676.08	Professional	TC	$213.80	$380.19	$676.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $302.00 / $363.08	Professional		$223.87	$302.00	$363.08
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $151.36 / $181.97	Professional	26	$112.20	$151.36	$181.97
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $147.91 / $186.21	Professional	TC	$112.20	$147.91	$186.21
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $588.84	Professional		$218.78	$309.03	$588.84
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $125.89 / $239.88	Professional	26	$93.33	$125.89	$239.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $165.96 / $389.05	Professional	TC	$107.15	$165.96	$389.05
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $134.90 / $147.91	Professional	26	$120.23	$134.90	$147.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $194.98 / $389.05	Facility	26	$125.89	$194.98	$389.05
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $275.42 / $616.60	Professional		$204.17	$275.42	$616.60
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $123.03 / $257.04	Professional	26	$60.26	$123.03	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $138.04 / $269.15	Professional	TC	$100.00	$138.04	$269.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $616.60 / $1,148.15	Professional		$512.86	$616.60	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $104.71 / $112.20 / $112.20	Facility	26	$104.71	$112.20	$112.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $213.80 / $407.38	Professional		$60.26	$213.80	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $112.20 / $117.49	Professional	26	$104.71	$112.20	$117.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $102.33 / $109.65	Professional	TC	$97.72	$102.33	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $467.74 / $831.76	Professional		$323.59	$467.74	$831.76
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $128.82 / $239.88	Professional	26	$93.33	$128.82	$239.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $363.08 / $630.96	Professional	TC	$229.09	$363.08	$630.96

Pennsylvania rates for HCPCS 74261