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 Typical Low / Median / Typical High $13.18 / $42.66 / $125.89	Facility		$13.18	$42.66	$125.89
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $22.39 / $32.36	Facility	26	$8.32	$22.39	$32.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $14.45 / $33.88	Professional		$10.00	$14.45	$33.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.91 / $25.70	Professional	26	$6.03	$8.91	$25.70
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $11.48 / $12.30 / $12.30	Professional	50	$11.48	$12.30	$12.30
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $3.98 / $7.41	Professional	TC	$2.00	$3.98	$7.41
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $9.55 / $14.79	Professional		$8.91	$9.55	$14.79
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $14.45 / $19.05	Professional		$12.02	$14.45	$19.05
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.55 / $5,011.87 / $57,543.99	Facility		$3.55	$5,011.87	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $11.48 / $27.54	Professional		$11.22	$11.48	$27.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $7.94 / $21.88	Professional	26	$7.59	$7.94	$21.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.47 / $3.63 / $9.77	Professional	TC	$3.47	$3.63	$9.77
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $10.23 / $63.10	Facility		$5.75	$10.23	$63.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.86 / $8.71 / $12.30	Facility	26	$1.86	$8.71	$12.30
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $14.79 / $25.12	Professional		$9.12	$14.79	$25.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $10.72 / $16.98	Professional	26	$6.31	$10.72	$16.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.75 / $4.47 / $8.71	Professional	TC	$2.75	$4.47	$8.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $16.22 / $24.55	Professional		$12.02	$16.22	$24.55
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.47 / $16.22	Professional	26	$7.76	$10.47	$16.22
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.17 / $5.75 / $8.13	Professional	TC	$4.17	$5.75	$8.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $14.45 / $23.44	Professional		$10.47	$14.45	$23.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.00 / $15.49	Professional	26	$7.41	$10.00	$15.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.09 / $4.17 / $6.46	Professional	TC	$2.09	$4.17	$6.46
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $63.10 / $91.20	Facility		$37.15	$63.10	$91.20
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $14.45 / $19.05	Professional		$12.02	$14.45	$19.05
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $29.51 / $50.12	Facility		$10.00	$29.51	$50.12
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $19.05 / $32.36	Facility	26	$6.03	$19.05	$32.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $12.88 / $25.70	Professional		$8.91	$12.88	$25.70
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.91 / $17.38	Professional	26	$6.03	$8.91	$17.38
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $3.98 / $8.91	Professional	TC	$2.00	$3.98	$8.91
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $22.39 / $31.62	Professional		$15.14	$22.39	$31.62
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $10.96 / $23.44	Facility		$8.32	$10.96	$23.44
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $7.59 / $8.91	Facility	26	$7.59	$7.59	$8.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $10.72 / $17.38	Professional		$8.32	$10.72	$17.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $7.59 / $8.91	Professional	26	$7.59	$7.59	$8.91
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.47 / $3.47 / $3.89	Professional	TC	$3.47	$3.47	$3.89
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $85.11 / $97.72	Facility		$46.77	$85.11	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $12.88 / $23.44	Professional		$9.55	$12.88	$23.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $9.12 / $15.85	Professional	26	$6.46	$9.12	$15.85
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.82 / $4.07 / $7.41	Professional	TC	$2.82	$4.07	$7.41

Pennsylvania rates for HCPCS 76514