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 $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $109.65 / $251.19	Professional		$93.33	$109.65	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $79.43 / $151.36	Professional	26	$70.79	$79.43	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $38.02	Professional	TC	$19.05	$30.20	$38.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $131.83	Professional		$91.20	$91.20	$131.83
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $114.82 / $151.36	Professional		$100.00	$114.82	$151.36
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $107.15 / $190.55	Professional		$104.71	$107.15	$190.55
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $79.43 / $151.36	Professional	26	$75.86	$79.43	$151.36
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $28.84 / $45.71	Professional	TC	$27.54	$28.84	$45.71
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $112.20 / $181.97	Professional		$87.10	$112.20	$181.97
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $87.10 / $141.25	Professional	26	$67.61	$87.10	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $28.18 / $51.29	Professional	TC	$17.38	$28.18	$51.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $218.78	Professional		$123.03	$144.54	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $107.15 / $158.49	Professional	26	$87.10	$107.15	$158.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $39.81 / $60.26	Professional	TC	$34.67	$39.81	$60.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $109.65 / $181.97	Professional		$95.50	$109.65	$181.97
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $83.18 / $151.36	Professional	26	$72.44	$83.18	$151.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $27.54 / $46.77	Professional	TC	$16.60	$27.54	$46.77
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $128.82 / $190.55	Professional		$123.03	$128.82	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $93.33 / $158.49	Professional	26	$87.10	$93.33	$158.49
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $114.82 / $151.36	Professional		$100.00	$114.82	$151.36
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	26	$79.43	$79.43	$79.43
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $109.65 / $162.18	Professional		$91.20	$109.65	$162.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $79.43 / $120.23	Professional	26	$70.79	$79.43	$120.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $47.86	Professional	TC	$19.05	$30.20	$47.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $112.20 / $194.98	Professional		$107.15	$112.20	$194.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $48.98 / $107.15	Professional		$15.85	$48.98	$107.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $77.62 / $79.43	Professional	26	$74.13	$77.62	$79.43
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $29.51 / $33.11	Professional	TC	$25.12	$29.51	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $173.78	Professional		$74.13	$100.00	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $75.86 / $131.83	Professional	26	$53.70	$75.86	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.70 / $47.86	Professional	TC	$15.85	$25.70	$47.86

Pennsylvania rates for HCPCS 92540