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 $46.77 / $91.20 / $162.18	Facility	26	$46.77	$91.20	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $295.12	Professional		$120.23	$158.49	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $67.61 / $123.03	Professional	26	$34.67	$67.61	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $109.65 / $181.97	Professional	TC	$79.43	$109.65	$181.97
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $70.79 / $75.86	Professional	26	$57.54	$70.79	$75.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $66.07	Professional	26	$61.66	$61.66	$66.07
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $151.36 / $263.03	Professional		$147.91	$151.36	$263.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $50.12 / $85.11	Professional	26	$48.98	$50.12	$85.11
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $109.65 / $199.53	Professional	TC	$97.72	$109.65	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $169.82 / $288.40	Professional		$109.65	$169.82	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $89.13	Professional	26	$31.62	$46.77	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $123.03 / $218.78	Professional	TC	$74.13	$123.03	$218.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $204.17 / $251.19	Professional		$154.88	$204.17	$251.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $64.57 / $77.62	Professional	26	$47.86	$64.57	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $138.04 / $173.78	Professional	TC	$104.71	$138.04	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $288.40	Professional		$77.62	$154.88	$288.40
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $51.29 / $87.10	Professional	26	$28.18	$51.29	$87.10
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $104.71 / $204.17	Professional	TC	$50.12	$104.71	$204.17
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $83.18	Professional	26	$40.74	$53.70	$83.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $61.66 / $77.62	Professional	26	$54.95	$61.66	$77.62
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $72.44 / $112.20	Facility	26	$43.65	$72.44	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $338.84	Professional		$120.23	$173.78	$338.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $51.29 / $102.33	Professional	26	$33.11	$51.29	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $120.23 / $239.88	Professional	TC	$85.11	$120.23	$239.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $354.81	Professional		$134.90	$223.87	$354.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $48.98	Facility	26	$37.15	$37.15	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $162.18	Professional		$67.61	$114.82	$162.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $50.12	Professional	26	$37.15	$48.98	$50.12
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $100.00 / $112.20	Professional	TC	$97.72	$100.00	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $154.88 / $288.40	Professional		$100.00	$154.88	$288.40
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $52.48 / $102.33	Professional	26	$32.36	$52.48	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $199.53	Professional	TC	$74.13	$112.20	$199.53

Pennsylvania rates for HCPCS 74270