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 / $181.97 / $354.81	Facility	26	$91.20	$181.97	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $354.81	Professional		$125.89	$173.78	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $91.20 / $316.23	Professional	26	$52.48	$91.20	$316.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $177.83	Professional	26	$134.90	$134.90	$177.83
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $114.82 / $125.89	Professional	26	$109.65	$114.82	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $173.78 / $295.12	Professional		$165.96	$173.78	$295.12
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $97.72 / $138.04	Professional	26	$91.20	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $257.04 / $588.84	Professional		$134.90	$257.04	$588.84
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $79.43 / $165.96	Professional	26	$53.70	$79.43	$165.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $281.84	Professional		$173.78	$234.42	$281.84
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $123.03 / $147.91	Professional	26	$91.20	$123.03	$147.91
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $323.59 / $537.03	Professional		$173.78	$323.59	$537.03
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $95.50 / $162.18	Professional	26	$45.71	$95.50	$162.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $112.20 / $158.49	Professional	26	$102.33	$112.20	$158.49
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $114.82 / $147.91	Professional	26	$104.71	$114.82	$147.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $107.15 / $181.97	Facility	26	$77.62	$107.15	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $208.93 / $457.09	Professional		$138.04	$208.93	$457.09
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $91.20 / $177.83	Professional	26	$52.48	$91.20	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $446.68 / $724.44	Professional		$295.12	$446.68	$724.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	26	$93.33	$93.33	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $346.74 / $363.08	Professional		$165.96	$346.74	$363.08
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $93.33 / $95.50	Professional	26	$91.20	$93.33	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $234.42 / $524.81	Professional		$154.88	$234.42	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $95.50 / $194.98	Professional	26	$53.70	$95.50	$194.98

Pennsylvania rates for HCPCS 75726