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 $67.61 / $134.90 / $295.12	Facility	26	$67.61	$134.90	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $602.56 / $2,454.71	Professional		$380.19	$602.56	$2,454.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $100.00 / $213.80	Professional	26	$67.61	$100.00	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $398.11 / $741.31	Professional	TC	$302.00	$398.11	$741.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $112.20 / $141.25	Professional	26	$61.66	$112.20	$141.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $676.08	Professional		$602.56	$602.56	$676.08
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $162.18	Professional	26	$93.33	$93.33	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $707.95 / $851.14	Professional		$407.38	$707.95	$851.14
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $125.89 / $144.54	Professional	26	$74.13	$125.89	$144.54
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $588.84 / $707.95	Professional	TC	$331.13	$588.84	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $549.54 / $851.14	Professional		$338.84	$549.54	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $95.50 / $144.54	Professional	26	$53.70	$95.50	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $457.09 / $707.95	Professional	TC	$281.84	$457.09	$707.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	26	$120.23	$120.23	$120.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $588.84 / $954.99	Professional		$457.09	$588.84	$954.99
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $114.82 / $162.18	Professional	26	$83.18	$114.82	$162.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $467.74 / $776.25	Professional	TC	$363.08	$467.74	$776.25
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $602.56	Facility	26	$120.23	$120.23	$602.56
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $575.44	Professional		$457.09	$457.09	$575.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $89.13 / $123.03	Professional	26	$79.43	$89.13	$123.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $776.25	Professional		$602.56	$602.56	$776.25
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $93.33 / $162.18	Professional	26	$89.13	$93.33	$162.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $67.61 / $97.72 / $173.78	Facility	26	$67.61	$97.72	$173.78
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $537.03 / $977.24	Professional		$389.05	$537.03	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $85.11 / $158.49	Professional	26	$64.57	$85.11	$158.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $436.52 / $794.33	Professional	TC	$323.59	$436.52	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $776.25 / $954.99	Professional		$478.63	$776.25	$954.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $141.25	Facility	26	$74.13	$74.13	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $436.52 / $933.25	Professional		$416.87	$436.52	$933.25
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $77.62 / $141.25	Professional	26	$72.44	$77.62	$141.25
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $380.19 / $501.19	Professional	TC	$338.84	$380.19	$501.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $575.44 / $870.96	Professional		$407.38	$575.44	$870.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $100.00 / $154.88	Professional	26	$70.79	$100.00	$154.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $467.74 / $741.31	Professional	TC	$338.84	$467.74	$741.31

Pennsylvania rates for HCPCS 78452