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 $66.07 / $131.83 / $245.47	Facility	26	$66.07	$131.83	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $389.05	Professional		$107.15	$154.88	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $67.61 / $154.88	Professional	26	$50.12	$67.61	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $70.79 / $309.03	Professional	TC	$48.98	$70.79	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $66.07 / $89.13	Professional	26	$44.67	$66.07	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $128.82 / $616.60	Professional		$123.03	$128.82	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $69.18 / $134.90	Professional	26	$67.61	$69.18	$134.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $549.54	Professional	TC	$56.23	$87.10	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $229.09 / $588.84	Professional		$107.15	$229.09	$588.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $72.44 / $125.89	Professional	26	$48.98	$72.44	$125.89
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $128.82 / $512.86	Professional	TC	$54.95	$128.82	$512.86
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $213.80	Professional		$128.82	$173.78	$213.80
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $89.13 / $112.20	Professional	26	$67.61	$89.13	$112.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $102.33	Professional	TC	$61.66	$81.28	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $263.03 / $537.03	Professional		$131.83	$263.03	$537.03
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $72.44 / $123.03	Professional	26	$46.77	$72.44	$123.03
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $123.03 / $478.63	Professional	TC	$60.26	$123.03	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $83.18 / $102.33	Professional	26	$75.86	$83.18	$102.33
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $104.71 / $181.97	Facility	26	$66.07	$104.71	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $165.96 / $354.81	Professional		$107.15	$165.96	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $72.44 / $138.04	Professional	26	$50.12	$72.44	$138.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $79.43 / $213.80	Professional	TC	$51.29	$79.43	$213.80
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $363.08 / $724.44	Professional		$223.87	$363.08	$724.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $95.50 / $95.50	Facility	26	$66.07	$95.50	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $338.84 / $346.74	Professional		$58.88	$338.84	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $66.07 / $95.50	Professional	26	$63.10	$66.07	$95.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $57.54 / $426.58	Professional	TC	$56.23	$57.54	$426.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $177.83 / $524.81	Professional		$120.23	$177.83	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $72.44 / $134.90	Professional	26	$50.12	$72.44	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $407.38	Professional	TC	$56.23	$87.10	$407.38

Pennsylvania rates for HCPCS 75625