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 $112.20 / $426.58 / $933.25	Facility		$112.20	$426.58	$933.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $58.88 / $131.83	Facility	26	$34.67	$58.88	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $177.83 / $616.60	Professional		$97.72	$177.83	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $52.48 / $138.04	Professional	26	$34.67	$52.48	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $100.00 / $223.87	Professional	TC	$64.57	$100.00	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $169.82	Professional		$75.86	$100.00	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $42.66 / $60.26	Professional	26	$30.20	$42.66	$60.26
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	TC	$114.82	$114.82	$114.82
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $295.12 / $3,548.13	Facility		$125.89	$295.12	$3,548.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $154.88 / $194.98	Professional		$144.54	$154.88	$194.98
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $47.86 / $58.88	Professional	26	$44.67	$47.86	$58.88
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $104.71 / $138.04	Professional	TC	$89.13	$104.71	$138.04
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $257.04	Professional		$112.20	$151.36	$257.04
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $95.50	Professional	26	$38.02	$51.29	$95.50
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $165.96	Professional	TC	$74.13	$104.71	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $213.80 / $275.42	Facility		$91.20	$213.80	$275.42
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $234.42	Professional		$93.33	$147.91	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $47.86 / $75.86	Professional	26	$30.90	$47.86	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $97.72 / $162.18	Professional	TC	$63.10	$97.72	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $158.49 / $239.88	Professional		$117.49	$158.49	$239.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $81.28	Professional	26	$38.02	$51.29	$81.28
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $109.65 / $158.49	Professional	TC	$79.43	$109.65	$158.49
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $870.96	Facility		$117.49	$117.49	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $223.87	Professional		$95.50	$141.25	$223.87
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $67.61	Professional	26	$33.11	$47.86	$67.61
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $93.33 / $147.91	Professional	TC	$61.66	$93.33	$147.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $275.42 / $524.81	Facility		$158.49	$275.42	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $134.90 / $151.36	Professional		$123.03	$134.90	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $45.71 / $66.07	Professional	26	$41.69	$45.71	$66.07
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $138.04 / $144.54	Professional	TC	$114.82	$138.04	$144.54
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $302.00 / $3,235.94	Facility		$123.03	$302.00	$3,235.94
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $154.88 / $194.98	Professional		$117.49	$154.88	$194.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $47.86 / $61.66	Professional	26	$43.65	$47.86	$61.66
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $104.71 / $194.98	Professional	TC	$87.10	$104.71	$194.98
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $251.19 / $676.08	Facility		$107.15	$251.19	$676.08
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $91.20	Facility	26	$34.67	$47.86	$91.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $141.25 / $269.15	Professional		$97.72	$141.25	$269.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $83.18	Professional	26	$32.36	$44.67	$83.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $181.97	Professional	TC	$64.57	$97.72	$181.97
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $169.82 / $234.42	Facility		$162.18	$169.82	$234.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $173.78 / $288.40	Professional		$66.07	$173.78	$288.40
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $74.13 / $138.04	Facility		$13.80	$74.13	$138.04
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $43.65	Facility	26	$38.02	$38.02	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $74.13 / $165.96	Professional		$13.80	$74.13	$165.96
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.90	Professional	26	$38.02	$38.02	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $83.18	Professional	TC	$74.13	$74.13	$83.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $354.81	Facility		$169.82	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $239.88	Professional		$95.50	$131.83	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $91.20	Professional	26	$32.36	$44.67	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $89.13 / $162.18	Professional	TC	$64.57	$89.13	$162.18

Pennsylvania rates for HCPCS 76700