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 $30.20 / $58.88 / $102.33	Facility	26	$30.20	$58.88	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $125.89 / $489.78	Professional		$69.18	$125.89	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $40.74 / $81.28	Professional	26	$25.70	$40.74	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $87.10 / $218.78	Professional	TC	$47.86	$87.10	$218.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $51.29	Professional	26	$30.20	$38.90	$51.29
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $131.83 / $173.78	Professional		$109.65	$131.83	$173.78
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $41.69	Professional	26	$34.67	$34.67	$41.69
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $102.33 / $181.97	Professional		$97.72	$102.33	$181.97
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $35.48 / $60.26	Professional	26	$27.54	$35.48	$60.26
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $74.13 / $128.82	Professional	TC	$70.79	$74.13	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $229.09	Professional		$79.43	$120.23	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $33.88 / $63.10	Professional	26	$19.95	$33.88	$63.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $85.11 / $162.18	Professional	TC	$57.54	$85.11	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $169.82	Professional		$102.33	$138.04	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $43.65	Professional	26	$26.92	$36.31	$43.65
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $104.71 / $151.36	Professional	TC	$77.62	$104.71	$151.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $102.33 / $186.21	Professional		$61.66	$102.33	$186.21
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $30.90 / $57.54	Professional	26	$23.44	$30.90	$57.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $74.13 / $131.83	Professional	TC	$33.11	$74.13	$131.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $125.89 / $134.90	Professional		$123.03	$125.89	$134.90
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $32.36 / $47.86	Professional	26	$28.84	$32.36	$47.86
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $131.83 / $151.36	Professional		$109.65	$131.83	$151.36
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $34.67 / $44.67	Professional	26	$33.11	$34.67	$44.67
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $41.69 / $89.13	Facility	26	$27.54	$41.69	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $275.42	Professional		$75.86	$125.89	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $36.31 / $69.18	Professional	26	$25.70	$36.31	$69.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $91.20 / $190.55	Professional	TC	$47.86	$91.20	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $117.49 / $234.42	Professional		$50.12	$117.49	$234.42
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $27.54 / $27.54	Facility	26	$26.30	$27.54	$27.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $85.11 / $346.74	Professional		$32.36	$85.11	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $27.54 / $28.84	Professional	26	$26.30	$27.54	$28.84
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $70.79 / $83.18	Professional	TC	$69.18	$70.79	$83.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $107.15 / $199.53	Professional		$81.28	$107.15	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $31.62 / $57.54	Professional	26	$22.91	$31.62	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $141.25	Professional	TC	$56.23	$79.43	$141.25

Pennsylvania rates for HCPCS 75571