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 $91.20 / $177.83 / $338.84	Facility	26	$91.20	$177.83	$338.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $758.58	Professional		$218.78	$295.12	$758.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $125.89 / $239.88	Professional	26	$72.44	$125.89	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $204.17 / $309.03	Professional	TC	$141.25	$204.17	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional		$154.88	$154.88	$154.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $117.49 / $117.49	Professional	26	$95.50	$117.49	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $234.42 / $645.65	Professional		$223.87	$234.42	$645.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $85.11 / $186.21	Professional	26	$81.28	$85.11	$186.21
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $147.91 / $457.09	Professional	TC	$144.54	$147.91	$457.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $316.23 / $524.81	Professional		$190.55	$316.23	$524.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $100.00 / $162.18	Professional	26	$60.26	$100.00	$162.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $213.80 / $346.74	Professional	TC	$125.89	$213.80	$346.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $389.05	Professional		$234.42	$316.23	$389.05
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $109.65 / $128.82	Professional	26	$81.28	$109.65	$128.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $204.17 / $257.04	Professional	TC	$154.88	$204.17	$257.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $489.78	Professional		$199.53	$269.15	$489.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $93.33 / $173.78	Professional	26	$70.79	$93.33	$173.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $177.83 / $309.03	Professional	TC	$131.83	$177.83	$309.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $302.00	Professional		$288.40	$288.40	$302.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $93.33 / $134.90	Professional	26	$89.13	$93.33	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $138.04 / $275.42	Facility	26	$91.20	$138.04	$275.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $302.00 / $602.56	Professional		$223.87	$302.00	$602.56
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $100.00 / $190.55	Professional	26	$70.79	$100.00	$190.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $218.78 / $416.87	Professional	TC	$147.91	$218.78	$416.87
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $331.13 / $630.96	Professional		$138.04	$331.13	$630.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $81.28	Facility	26	$77.62	$77.62	$81.28
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $229.09 / $416.87	Professional		$151.36	$229.09	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $81.28 / $85.11	Professional	26	$77.62	$81.28	$85.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $144.54 / $158.49	Professional	TC	$141.25	$144.54	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $281.84 / $478.63	Professional		$213.80	$281.84	$478.63
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $95.50 / $173.78	Professional	26	$67.61	$95.50	$173.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $194.98 / $316.23	Professional	TC	$138.04	$194.98	$316.23

Pennsylvania rates for HCPCS 75572