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 $26.92 / $64.57 / $89.13	Facility	26	$26.92	$64.57	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $125.89 / $213.80	Professional		$93.33	$125.89	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $70.79	Professional	26	$18.20	$22.91	$70.79
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $6.61 / $6.61	Professional	26	$6.61	$6.61	$6.61
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $131.83 / $229.09	Professional		$128.82	$131.83	$229.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $29.51 / $56.23	Professional	26	$22.91	$29.51	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $134.90 / $245.47	Professional		$93.33	$134.90	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $28.84 / $46.77	Professional	26	$18.20	$28.84	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $181.97 / $223.87	Professional		$138.04	$181.97	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $37.15	Professional	26	$22.91	$30.90	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $138.04 / $251.19	Professional		$69.18	$138.04	$251.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $27.54 / $48.98	Professional	26	$19.95	$27.54	$48.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $25.12 / $26.30	Professional	26	$12.59	$25.12	$26.30
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $66.07 / $81.28	Facility	26	$21.88	$66.07	$81.28
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $213.80	Professional		$97.72	$123.03	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.88 / $40.74	Professional	26	$18.20	$21.88	$40.74
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $125.89 / $257.04	Professional		$42.66	$125.89	$257.04
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $26.30 / $26.30	Facility	26	$23.44	$26.30	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $69.18 / $346.74	Professional		$25.12	$69.18	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $23.44 / $26.30	Professional	26	$22.39	$23.44	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $128.82 / $239.88	Professional		$87.10	$128.82	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.92 / $48.98	Professional	26	$19.05	$26.92	$48.98

Pennsylvania rates for HCPCS 74400