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 / $251.19 / $467.74	Facility	26	$125.89	$251.19	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $562.34 / $2,344.23	Professional		$371.54	$562.34	$2,344.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $223.87 / $478.63	Professional	26	$117.49	$223.87	$478.63
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $870.96	Professional	TC	$257.04	$338.84	$870.96
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $173.78 / $190.55	Professional	26	$117.49	$173.78	$190.55
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $630.96	Professional		$524.81	$524.81	$630.96
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $151.36 / $194.98	Professional	26	$151.36	$151.36	$194.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $371.54 / $776.25	Professional		$354.81	$371.54	$776.25
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $125.89 / $245.47	Professional	26	$123.03	$125.89	$245.47
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $239.88 / $588.84	Professional	TC	$234.42	$239.88	$588.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $645.65 / $1,096.48	Professional		$363.08	$645.65	$1,096.48
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $151.36 / $251.19	Professional	26	$89.13	$151.36	$251.19
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $457.09 / $812.83	Professional	TC	$251.19	$457.09	$812.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $512.86 / $616.60	Professional		$380.19	$512.86	$616.60
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $162.18 / $194.98	Professional	26	$120.23	$162.18	$194.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $426.58	Professional	TC	$257.04	$338.84	$426.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $537.03 / $954.99	Professional		$380.19	$537.03	$954.99
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $147.91 / $257.04	Professional	26	$109.65	$147.91	$257.04
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $389.05 / $676.08	Professional	TC	$245.47	$389.05	$676.08
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $707.95 / $724.44	Professional		$467.74	$707.95	$724.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $138.04 / $218.78	Professional	26	$125.89	$138.04	$218.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $524.81 / $660.69	Professional		$426.58	$524.81	$660.69
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $151.36 / $194.98	Professional	26	$144.54	$151.36	$194.98
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $218.78 / $416.87	Facility	26	$125.89	$218.78	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $537.03 / $1,071.52	Professional		$380.19	$537.03	$1,071.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $158.49 / $309.03	Professional	26	$112.20	$158.49	$309.03
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $371.54 / $724.44	Professional	TC	$257.04	$371.54	$724.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $741.31 / $1,000.00	Professional		$223.87	$741.31	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $141.25	Facility	26	$120.23	$120.23	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $407.38 / $645.65	Professional		$79.43	$407.38	$645.65
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $120.23 / $125.89	Professional	26	$117.49	$120.23	$125.89
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $245.47 / $269.15	Professional	TC	$239.88	$245.47	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $537.03 / $954.99	Professional		$346.74	$537.03	$954.99
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $141.25 / $275.42	Professional	26	$104.71	$141.25	$275.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $363.08 / $741.31	Professional	TC	$239.88	$363.08	$741.31

Pennsylvania rates for HCPCS 75561