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 Typical Low / Median / Typical High $131.83 / $398.11 / $977.24	Facility		$131.83	$398.11	$977.24
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $30.20 / $54.95	Facility	26	$14.79	$30.20	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $263.03	Professional		$79.43	$107.15	$263.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.70 / $60.26	Professional	26	$12.88	$25.70	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $85.11 / $144.54	Professional	TC	$64.57	$85.11	$144.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $2,454.71 / $3,235.94	Facility		$269.15	$2,454.71	$3,235.94
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $22.39	Professional	26	$18.62	$18.62	$22.39
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $177.83	Professional		$97.72	$100.00	$177.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $19.95 / $38.90	Professional	26	$15.49	$19.95	$38.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $87.10 / $147.91	Professional	TC	$81.28	$87.10	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $245.47 / $575.44	Facility		$109.65	$245.47	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $190.55	Professional		$70.79	$104.71	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $19.50 / $31.62	Professional	26	$12.59	$19.50	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $87.10 / $162.18	Professional	TC	$60.26	$87.10	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $181.97	Professional		$109.65	$144.54	$181.97
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.38 / $25.70	Professional	26	$15.85	$21.38	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $123.03 / $154.88	Professional	TC	$93.33	$123.03	$154.88
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $109.65 / $199.53	Professional		$60.26	$109.65	$199.53
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.05 / $33.88	Professional	26	$13.49	$19.05	$33.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $93.33 / $173.78	Professional	TC	$46.77	$93.33	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $524.81 / $1,071.52	Facility		$269.15	$524.81	$1,071.52
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $19.50 / $44.67	Professional	26	$16.98	$19.50	$44.67
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $2,454.71	Facility		$239.88	$323.59	$2,454.71
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $23.99	Professional	26	$18.20	$18.62	$23.99
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $162.18 / $724.44	Facility		$107.15	$162.18	$724.44
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $23.44 / $52.48	Facility	26	$14.13	$23.44	$52.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $234.42	Professional		$79.43	$109.65	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $17.38 / $38.90	Professional	26	$12.59	$17.38	$38.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $91.20 / $199.53	Professional	TC	$64.57	$91.20	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $104.71 / $204.17	Professional		$29.51	$104.71	$204.17
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $38.90 / $89.13	Facility		$13.80	$38.90	$89.13
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.14 / $18.20 / $18.20	Facility	26	$15.14	$18.20	$18.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $48.98 / $128.82	Professional		$28.84	$48.98	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.49 / $18.20	Professional	26	$14.79	$15.49	$18.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $83.18 / $93.33	Professional	TC	$70.79	$83.18	$93.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $707.95 / $812.83	Facility		$426.58	$707.95	$812.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $186.21	Professional		$72.44	$102.33	$186.21
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $33.11	Professional	26	$12.88	$18.20	$33.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $154.88	Professional	TC	$61.66	$85.11	$154.88

Pennsylvania rates for HCPCS 74455