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 $43.65 / $123.03 / $199.53	Facility	26	$43.65	$123.03	$199.53
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $66.07 / $223.87	Professional		$54.95	$66.07	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $50.12 / $213.80	Professional	26	$38.90	$50.12	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $19.95 / $37.15	Professional	TC	$15.14	$19.95	$37.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $48.98 / $81.28	Professional	26	$46.77	$48.98	$81.28
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $114.82	Professional		$64.57	$79.43	$114.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $100.00	Professional	26	$46.77	$57.54	$100.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $22.91 / $33.88	Professional	TC	$18.62	$22.91	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $123.03	Professional		$53.70	$75.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $53.70 / $89.13	Professional	26	$38.90	$53.70	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $22.91 / $35.48	Professional	TC	$15.49	$22.91	$35.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $109.65	Professional		$85.11	$85.11	$109.65
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $74.13	Professional	26	$60.26	$60.26	$74.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $24.55 / $33.88	Professional	TC	$24.55	$24.55	$33.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $77.62 / $125.89	Professional		$48.98	$77.62	$125.89
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $56.23 / $89.13	Professional	26	$35.48	$56.23	$89.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $23.99 / $38.90	Professional	TC	$14.45	$23.99	$38.90
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $50.12 / $67.61	Professional	26	$50.12	$50.12	$67.61
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $48.98 / $61.66	Professional	26	$46.77	$48.98	$61.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $67.61 / $144.54	Facility	26	$42.66	$67.61	$144.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $72.44 / $147.91	Professional		$54.95	$72.44	$147.91
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $100.00	Professional	26	$38.02	$50.12	$100.00
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $21.88 / $44.67	Professional	TC	$15.14	$21.88	$44.67
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $123.03	Professional		$83.18	$114.82	$123.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $46.77	Facility	26	$44.67	$44.67	$46.77
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $63.10 / $147.91	Professional		$17.78	$63.10	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $46.77	Professional	26	$44.67	$44.67	$46.77
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $18.20 / $19.95	Professional	TC	$17.78	$18.20	$19.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $72.44 / $120.23	Professional		$54.95	$72.44	$120.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $51.29 / $87.10	Professional	26	$39.81	$51.29	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $20.89 / $34.67	Professional	TC	$16.22	$20.89	$34.67

Pennsylvania rates for HCPCS 77331