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 $38.02 / $75.86 / $144.54	Facility	26	$38.02	$75.86	$144.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $446.68 / $2,041.74	Professional		$363.08	$446.68	$2,041.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $58.88 / $112.20	Professional	26	$37.15	$58.88	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $389.05 / $602.56	Professional	TC	$302.00	$389.05	$602.56
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $66.07 / $79.43	Professional	26	$64.57	$66.07	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $67.61	Professional	26	$52.48	$52.48	$67.61
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $645.65 / $812.83	Professional		$371.54	$645.65	$812.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $70.79 / $85.11	Professional	26	$41.69	$70.79	$85.11
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $575.44 / $741.31	Professional	TC	$331.13	$575.44	$741.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $549.54 / $812.83	Professional		$331.13	$549.54	$812.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $53.70 / $83.18	Professional	26	$29.51	$53.70	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $489.78 / $724.44	Professional	TC	$302.00	$489.78	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	26	$67.61	$67.61	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Professional	TC	$588.84	$588.84	$588.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $426.58 / $616.60	Professional		$257.04	$426.58	$616.60
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $70.79	Professional	26	$39.81	$53.70	$70.79
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $380.19 / $549.54	Professional	TC	$213.80	$380.19	$549.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $45.71 / $60.26	Professional	26	$41.69	$45.71	$60.26
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $2,238.72	Professional	26	$52.48	$52.48	$2,238.72
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $60.26 / $123.03	Facility	26	$38.02	$60.26	$123.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $457.09 / $831.76	Professional		$346.74	$457.09	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $45.71 / $85.11	Professional	26	$35.48	$45.71	$85.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $407.38 / $758.58	Professional	TC	$309.03	$407.38	$758.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $741.31 / $851.14	Professional		$588.84	$741.31	$851.14
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $41.69 / $41.69	Facility	26	$38.90	$41.69	$41.69
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $186.21 / $426.58	Professional		$22.91	$186.21	$426.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $41.69 / $42.66	Professional	26	$38.90	$41.69	$42.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $346.74 / $380.19	Professional	TC	$251.19	$346.74	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $478.63 / $812.83	Professional		$380.19	$478.63	$812.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $50.12 / $83.18	Professional	26	$38.90	$50.12	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $446.68 / $741.31	Professional	TC	$346.74	$446.68	$741.31

Pennsylvania rates for HCPCS 78227