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 $89.13 / $199.53 / $346.74	Facility	26	$89.13	$199.53	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $173.78 / $354.81	Professional		$134.90	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $87.10 / $194.98	Professional	26	$58.88	$87.10	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $81.28 / $245.47	Professional	TC	$57.54	$81.28	$245.47
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $87.10 / $123.03	Professional	26	$61.66	$87.10	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $165.96 / $630.96	Professional		$158.49	$165.96	$630.96
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $95.50 / $158.49	Professional	26	$91.20	$95.50	$158.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $97.72 / $549.54	Professional	TC	$67.61	$97.72	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $288.40 / $616.60	Professional		$144.54	$288.40	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $169.82	Professional	26	$61.66	$91.20	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $165.96 / $537.03	Professional	TC	$67.61	$165.96	$537.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $223.87 / $275.42	Professional		$165.96	$223.87	$275.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $123.03 / $151.36	Professional	26	$91.20	$123.03	$151.36
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $100.00 / $125.89	Professional	TC	$75.86	$100.00	$125.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $338.84 / $562.34	Professional		$169.82	$338.84	$562.34
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $97.72 / $162.18	Professional	26	$53.70	$97.72	$162.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $151.36 / $478.63	Professional	TC	$72.44	$151.36	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $114.82 / $120.23	Professional	26	$104.71	$114.82	$120.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $208.93	Facility	26	$89.13	$131.83	$208.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $467.74	Professional		$138.04	$204.17	$467.74
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $93.33 / $186.21	Professional	26	$61.66	$93.33	$186.21
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $97.72 / $275.42	Professional	TC	$60.26	$97.72	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $512.86 / $741.31	Professional		$288.40	$512.86	$741.31
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $107.15 / $107.15	Facility	26	$89.13	$107.15	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $346.74 / $380.19	Professional		$169.82	$346.74	$380.19
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $91.20 / $107.15	Professional	26	$87.10	$91.20	$107.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $69.18 / $426.58	Professional	TC	$66.07	$69.18	$426.58
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $229.09 / $537.03	Professional		$151.36	$229.09	$537.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $95.50 / $181.97	Professional	26	$61.66	$95.50	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $104.71 / $446.68	Professional	TC	$66.07	$104.71	$446.68

Pennsylvania rates for HCPCS 75716