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 $26.30 / $38.90 / $48.98	Facility	26	$26.30	$38.90	$48.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $67.61 / $199.53	Professional		$56.23	$67.61	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $74.13	Professional	26	$25.70	$38.02	$74.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $34.67 / $70.79	Professional	TC	$29.51	$34.67	$70.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $28.18	Professional	26	$25.70	$25.70	$28.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $32.36	Professional	26	$28.84	$28.84	$32.36
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $64.57 / $102.33	Professional		$61.66	$64.57	$102.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.18 / $53.70	Professional	26	$27.54	$28.18	$53.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $36.31 / $54.95	Professional	TC	$34.67	$36.31	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $154.88	Professional		$60.26	$75.86	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $58.88	Professional	26	$26.92	$34.67	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $39.81 / $74.13	Professional	TC	$31.62	$39.81	$74.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $144.54	Professional		$74.13	$97.72	$144.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $39.81 / $60.26	Professional	26	$28.84	$39.81	$60.26
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $58.88 / $85.11	Professional	TC	$44.67	$58.88	$85.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $77.62 / $128.82	Professional		$57.54	$77.62	$128.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $33.88 / $50.12	Professional	26	$28.84	$33.88	$50.12
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $43.65 / $70.79	Professional	TC	$28.84	$43.65	$70.79
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $91.20	Professional		$70.79	$70.79	$91.20
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $33.11 / $51.29	Professional	26	$30.20	$33.11	$51.29
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $38.02	Professional	26	$28.84	$28.84	$38.02
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $38.90 / $48.98	Facility	26	$26.92	$38.90	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $72.44 / $141.25	Professional		$57.54	$72.44	$141.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.11 / $63.10	Professional	26	$25.70	$33.11	$63.10
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $38.90 / $79.43	Professional	TC	$30.90	$38.90	$79.43
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $123.03 / $194.98	Professional		$72.44	$123.03	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $33.88	Facility	26	$26.92	$26.92	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $57.54 / $190.55	Professional		$30.20	$57.54	$190.55
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.92 / $27.54	Professional	26	$26.30	$26.92	$27.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $35.48	Professional	TC	$31.62	$31.62	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $128.82	Professional		$50.12	$66.07	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $30.90 / $52.48	Professional	26	$23.44	$30.90	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $34.67 / $63.10	Professional	TC	$25.70	$34.67	$63.10

Pennsylvania rates for HCPCS 94070