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 Typical Low / Median / Typical High $165.96 / $398.11 / $1,148.15	Facility		$165.96	$398.11	$1,148.15
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $33.88 / $81.28	Facility	26	$22.39	$33.88	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $147.91 / $389.05	Professional		$38.02	$147.91	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $70.79	Professional	26	$20.89	$30.90	$70.79
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $120.23 / $199.53	Professional	TC	$95.50	$120.23	$199.53
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $138.04	Professional		$104.71	$109.65	$138.04
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $22.39 / $35.48	Professional	26	$18.62	$22.39	$35.48
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,456.54 / $6,456.54	Facility		$6,456.54	$6,456.54	$6,456.54
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $30.20	Professional	26	$23.99	$23.99	$30.20
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $5,011.87 / $77,624.71	Facility		$114.82	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $131.83 / $275.42	Professional		$125.89	$131.83	$275.42
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $24.55 / $45.71	Professional	26	$22.39	$24.55	$45.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $109.65 / $229.09	Professional	TC	$104.71	$109.65	$229.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $275.42 / $346.74	Facility		$138.04	$275.42	$346.74
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.50 / $25.70 / $37.15	Facility	26	$5.50	$25.70	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $194.98 / $316.23	Professional		$134.90	$194.98	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $26.30 / $44.67	Professional	26	$19.50	$26.30	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $173.78 / $275.42	Professional	TC	$114.82	$173.78	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $269.15	Professional		$154.88	$194.98	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $32.36 / $46.77	Professional	26	$26.30	$32.36	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $162.18 / $218.78	Professional	TC	$128.82	$162.18	$218.78
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $169.82 / $245.47	Professional		$112.20	$169.82	$245.47
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.30 / $41.69	Professional	26	$19.05	$26.30	$41.69
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $138.04 / $199.53	Professional	TC	$93.33	$138.04	$199.53
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $263.03 / $524.81	Facility		$144.54	$263.03	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $162.18 / $186.21	Professional		$138.04	$162.18	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.92 / $30.20	Professional	26	$25.70	$26.92	$30.20
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,456.54 / $8,317.64	Facility		$6,456.54	$6,456.54	$8,317.64
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.20 / $316.23	Professional	26	$20.42	$30.20	$316.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $239.88 / $660.69	Facility		$128.82	$239.88	$660.69
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $26.92 / $44.67	Facility	26	$22.39	$26.92	$44.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $309.03	Professional		$120.23	$162.18	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $27.54 / $51.29	Professional	26	$20.89	$27.54	$51.29
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $131.83 / $251.19	Professional	TC	$100.00	$131.83	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $223.87 / $309.03	Professional		$47.86	$223.87	$309.03
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $316.23	Facility		$45.71	$60.26	$316.23
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $24.55	Facility	26	$22.39	$22.39	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $60.26 / $128.82	Professional		$26.92	$60.26	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $22.39 / $24.55	Professional	26	$21.38	$22.39	$24.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $100.00 / $109.65	Professional	TC	$97.72	$100.00	$109.65
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $354.81	Facility		$169.82	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $323.59	Professional		$128.82	$173.78	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.30 / $52.48	Professional	26	$19.05	$26.30	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $147.91 / $269.15	Professional	TC	$109.65	$147.91	$269.15

Pennsylvania rates for HCPCS 93926