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 $40.74 / $114.82 / $114.82	Facility	26	$40.74	$114.82	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $100.00 / $831.76	Professional		$52.48	$100.00	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $194.98 / $741.31	Professional	26	$20.89	$194.98	$741.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $69.18 / $177.83	Professional	TC	$26.92	$69.18	$177.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	26	$53.70	$53.70	$53.70
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $109.65 / $186.21	Professional		$107.15	$109.65	$186.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $51.29	Professional	26	$28.18	$37.15	$51.29
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $81.28 / $141.25	Professional	TC	$70.79	$81.28	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $64.57 / $125.89	Professional		$34.67	$64.57	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $21.88 / $41.69	Professional	26	$13.18	$21.88	$41.69
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $40.74 / $91.20	Professional	TC	$20.42	$40.74	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $165.96	Professional		$81.28	$109.65	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.92 / $40.74	Professional	26	$20.42	$26.92	$40.74
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $83.18 / $125.89	Professional	TC	$61.66	$83.18	$125.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $173.78	Professional		$69.18	$109.65	$173.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $32.36 / $53.70	Professional	26	$26.92	$32.36	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $79.43 / $125.89	Professional	TC	$40.74	$79.43	$125.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $117.49 / $123.03	Professional		$107.15	$117.49	$123.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $32.36 / $51.29	Professional	26	$28.84	$32.36	$51.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $29.51	Professional	26	$28.18	$29.51	$29.51
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	TC	$83.18	$83.18	$83.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $41.69	Facility	26	$40.74	$40.74	$41.69
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $102.33 / $251.19	Professional		$54.95	$102.33	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $26.30 / $70.79	Professional	26	$18.62	$26.30	$70.79
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $75.86 / $177.83	Professional	TC	$33.88	$75.86	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $190.55 / $204.17	Professional		$30.90	$190.55	$204.17
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $75.86 / $309.03	Professional		$46.77	$75.86	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.18 / $28.84	Professional	26	$27.54	$28.18	$28.84
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $83.18 / $85.11	Professional	TC	$44.67	$83.18	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $144.54	Professional		$48.98	$89.13	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $29.51 / $53.70	Professional	26	$16.22	$29.51	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $60.26 / $104.71	Professional	TC	$33.11	$60.26	$104.71

Pennsylvania rates for HCPCS 88350