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 $107.15 / $208.93 / $416.87	Facility	26	$107.15	$208.93	$416.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $977.24	Professional		$275.42	$371.54	$977.24
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $154.88 / $363.08	Professional	26	$104.71	$154.88	$363.08
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $229.09 / $562.34	Professional	TC	$162.18	$229.09	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $389.05	Professional		$354.81	$354.81	$389.05
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $162.18 / $181.97	Professional	26	$107.15	$162.18	$181.97
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $141.25 / $169.82	Professional	26	$131.83	$141.25	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $144.54 / $281.84	Professional	26	$112.20	$144.54	$281.84
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $181.97 / $724.44	Professional	TC	$173.78	$181.97	$724.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $616.60 / $1,047.13	Professional		$346.74	$616.60	$1,047.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $138.04 / $229.09	Professional	26	$85.11	$138.04	$229.09
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $457.09 / $812.83	Professional	TC	$245.47	$457.09	$812.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $489.78	Professional		$295.12	$398.11	$489.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $147.91 / $177.83	Professional	26	$109.65	$147.91	$177.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $257.04 / $371.54	Professional	TC	$190.55	$257.04	$371.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $446.68 / $776.25	Professional		$302.00	$446.68	$776.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $131.83 / $239.88	Professional	26	$97.72	$131.83	$239.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $288.40 / $588.84	Professional	TC	$181.97	$288.40	$588.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $524.81 / $549.54	Professional		$478.63	$524.81	$549.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $131.83 / $173.78	Professional	26	$125.89	$131.83	$173.78
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $141.25 / $177.83	Professional	26	$125.89	$141.25	$177.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $154.88 / $363.08	Facility	26	$107.15	$154.88	$363.08
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $426.58 / $870.96	Professional		$275.42	$426.58	$870.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $138.04 / $257.04	Professional	26	$100.00	$138.04	$257.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $257.04 / $562.34	Professional	TC	$169.82	$257.04	$562.34
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $616.60 / $933.25	Professional		$323.59	$616.60	$933.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $109.65 / $123.03 / $123.03	Facility	26	$109.65	$123.03	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $281.84 / $478.63	Professional		$204.17	$281.84	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $112.20 / $123.03	Professional	26	$107.15	$112.20	$123.03
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $169.82 / $549.54	Professional	TC	$165.96	$169.82	$549.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $512.86 / $851.14	Professional		$346.74	$512.86	$851.14
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $128.82 / $234.42	Professional	26	$95.50	$128.82	$234.42
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $371.54 / $691.83	Professional	TC	$257.04	$371.54	$691.83

Pennsylvania rates for HCPCS 75635