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 $30.90 / $61.66 / $125.89	Facility	26	$30.90	$61.66	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $104.71 / $316.23	Professional		$54.95	$104.71	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $50.12 / $138.04	Professional	26	$30.20	$50.12	$138.04
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $213.80 / $741.31	Professional	50	$50.12	$213.80	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $72.44 / $134.90	Professional	TC	$54.95	$72.44	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $79.43 / $95.50	Professional		$77.62	$79.43	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $72.44 / $81.28	Professional	26	$40.74	$72.44	$81.28
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $117.49 / $120.23 / $223.87	Professional	50	$117.49	$120.23	$223.87
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	TC	$147.91	$147.91	$147.91
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $134.90	Professional		$112.20	$112.20	$134.90
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $48.98	Professional	26	$36.31	$36.31	$48.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $194.98	Professional		$104.71	$109.65	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $69.18	Professional	26	$37.15	$38.02	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $158.49 / $162.18 / $288.40	Professional	50	$158.49	$162.18	$288.40
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $83.18 / $123.03	Professional	TC	$67.61	$83.18	$123.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $128.82 / $199.53	Professional		$81.28	$128.82	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $44.67 / $69.18	Professional	26	$27.54	$44.67	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $85.11 / $128.82	Professional	TC	$54.95	$85.11	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $72.44	Professional	26	$33.88	$45.71	$72.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $93.33 / $138.04	Professional	TC	$69.18	$93.33	$138.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $177.83	Professional		$85.11	$112.20	$177.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $39.81 / $60.26	Professional	26	$29.51	$39.81	$60.26
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $112.20	Professional	TC	$53.70	$72.44	$112.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $117.49 / $134.90	Professional		$107.15	$117.49	$134.90
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $51.29 / $81.28	Professional	26	$38.90	$51.29	$81.28
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $60.26 / $173.78 / $204.17	Professional	50	$60.26	$173.78	$204.17
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $120.23 / $125.89	Professional	TC	$120.23	$120.23	$125.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $177.83	Professional		$112.20	$112.20	$177.83
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $58.88	Professional	26	$36.31	$36.31	$58.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $83.18	Facility	26	$30.90	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $234.42	Professional		$85.11	$117.49	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.90 / $75.86	Professional	26	$28.84	$38.90	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $154.88	Professional	TC	$56.23	$77.62	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $125.89 / $199.53	Professional		$38.02	$125.89	$199.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $40.74 / $40.74	Facility	26	$34.67	$40.74	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $91.20 / $309.03	Professional		$47.86	$91.20	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $40.74	Professional	26	$34.67	$34.67	$40.74
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $66.07 / $74.13	Professional	TC	$64.57	$66.07	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $204.17	Professional		$83.18	$112.20	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $39.81 / $81.28	Professional	26	$29.51	$39.81	$81.28
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional	50	$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $75.86 / $134.90	Professional	TC	$53.70	$75.86	$134.90

Pennsylvania rates for HCPCS 76641