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 $33.11 / $70.79 / $125.89	Facility	26	$33.11	$70.79	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $144.54 / $407.38	Professional		$72.44	$144.54	$407.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $54.95 / $134.90	Professional	26	$33.11	$54.95	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $58.88 / $117.49	Professional	TC	$38.02	$58.88	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $134.90	Professional		$66.07	$89.13	$134.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $51.29 / $69.18	Professional	26	$28.84	$51.29	$69.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $141.25	Professional		$107.15	$107.15	$141.25
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $51.29	Professional	26	$45.71	$45.71	$51.29
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $74.13	Professional	TC	$61.66	$61.66	$74.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $173.78	Professional		$83.18	$109.65	$173.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $47.86 / $91.20	Professional	26	$36.31	$47.86	$91.20
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $58.88 / $102.33	Professional	TC	$47.86	$58.88	$102.33
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $169.82	Professional		$69.18	$109.65	$169.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $45.71 / $72.44	Professional	26	$29.51	$45.71	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $97.72	Professional	TC	$40.74	$64.57	$97.72
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $186.21	Professional		$91.20	$123.03	$186.21
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $50.12 / $79.43	Professional	26	$37.15	$50.12	$79.43
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $107.15	Professional	TC	$53.70	$72.44	$107.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $165.96	Professional		$77.62	$109.65	$165.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $66.07	Professional	26	$31.62	$46.77	$66.07
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $63.10 / $97.72	Professional	TC	$44.67	$63.10	$97.72
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Facility	26	$524.81	$524.81	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $104.71 / $154.88	Professional		$89.13	$104.71	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $41.69 / $56.23	Professional	26	$38.90	$41.69	$56.23
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $69.18 / $72.44	Professional	TC	$67.61	$69.18	$72.44
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $190.55	Professional		$107.15	$107.15	$190.55
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $58.88	Professional	26	$45.71	$45.71	$58.88
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $61.66 / $109.65	Professional	TC	$61.66	$61.66	$109.65
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $53.70 / $107.15	Facility	26	$33.11	$53.70	$107.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $194.98	Professional		$70.79	$102.33	$194.98
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $44.67 / $81.28	Professional	26	$30.90	$44.67	$81.28
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $58.88 / $112.20	Professional	TC	$38.90	$58.88	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $154.88 / $194.98	Professional		$52.48	$154.88	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $39.81 / $39.81	Facility	26	$35.48	$39.81	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $75.86 / $104.71	Professional		$13.49	$75.86	$104.71
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $39.81	Professional	26	$35.48	$35.48	$39.81
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $45.71 / $54.95	Professional	TC	$44.67	$45.71	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $173.78	Professional		$70.79	$97.72	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $42.66 / $95.50	Professional	26	$30.20	$42.66	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $54.95 / $102.33	Professional	TC	$40.74	$54.95	$102.33

Pennsylvania rates for HCPCS 76819