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 $14.45 / $29.51 / $53.70	Facility	26	$14.45	$29.51	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $47.86 / $125.89	Professional		$33.11	$47.86	$125.89
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $21.88 / $48.98	Professional	26	$12.02	$21.88	$48.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.18 / $89.13	Professional	TC	$19.05	$28.18	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $47.86 / $91.20	Professional		$39.81	$47.86	$91.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $19.50 / $37.15	Professional	26	$15.14	$19.50	$37.15
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $27.54 / $67.61	Professional	TC	$25.12	$27.54	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $60.26 / $102.33	Professional		$33.11	$60.26	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.05 / $30.90	Professional	26	$12.02	$19.05	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $38.90 / $77.62	Professional	TC	$20.89	$38.90	$77.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $57.54 / $70.79	Professional		$42.66	$57.54	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.42 / $24.55	Professional	26	$15.14	$20.42	$24.55
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $36.31 / $46.77	Professional	TC	$27.54	$36.31	$46.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $56.23 / $100.00	Professional		$40.74	$56.23	$100.00
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $32.36	Professional	26	$12.88	$18.20	$32.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $35.48 / $72.44	Professional	TC	$26.92	$35.48	$72.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $16.98 / $22.39	Professional	26	$15.14	$16.98	$22.39
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $22.91 / $50.12	Facility	26	$14.13	$22.91	$50.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $114.82	Professional		$33.11	$52.48	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.98 / $35.48	Professional	26	$12.02	$16.98	$35.48
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $32.36 / $74.13	Professional	TC	$19.95	$32.36	$74.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $75.86 / $87.10	Professional		$25.12	$75.86	$87.10
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $17.38 / $17.38	Facility	26	$14.79	$17.38	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $33.88 / $60.26	Professional		$19.50	$33.88	$60.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $15.14 / $17.38	Professional	26	$14.45	$15.14	$17.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $25.70 / $40.74	Professional	TC	$24.55	$25.70	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $51.29 / $95.50	Professional		$34.67	$51.29	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.38 / $32.36	Professional	26	$12.59	$17.38	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $67.61	Professional	TC	$20.89	$31.62	$67.61

Pennsylvania rates for HCPCS 74430