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 $58.88 / $93.33 / $173.78	Facility	26	$58.88	$93.33	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $457.09 / $831.76	Professional		$380.19	$457.09	$831.76
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $74.13 / $223.87	Professional	26	$53.70	$74.13	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $380.19 / $676.08	Professional	TC	$323.59	$380.19	$676.08
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Professional	TC	$371.54	$371.54	$371.54
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $72.44	Professional	26	$58.88	$58.88	$72.44
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $436.52 / $831.76	Professional		$416.87	$436.52	$831.76
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $120.23	Professional	26	$56.23	$58.88	$120.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $380.19 / $707.95	Professional	TC	$363.08	$380.19	$707.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $562.34 / $933.25	Professional		$398.11	$562.34	$933.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $89.13 / $138.04	Professional	26	$54.95	$89.13	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $478.63 / $831.76	Professional	TC	$331.13	$478.63	$831.76
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $758.58 / $1,000.00	Professional		$501.19	$758.58	$1,000.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $87.10 / $117.49	Professional	26	$57.54	$87.10	$117.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $660.69 / $870.96	Professional	TC	$436.52	$660.69	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $616.60 / $933.25	Professional		$446.68	$616.60	$933.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $79.43 / $112.20	Professional	26	$57.54	$79.43	$112.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $537.03 / $831.76	Professional	TC	$389.05	$537.03	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $489.78 / $616.60	Professional		$72.44	$489.78	$616.60
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $81.28 / $97.72	Professional	26	$63.10	$81.28	$97.72
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $398.11 / $426.58	Professional	TC	$398.11	$398.11	$426.58
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $66.07 / $72.44	Professional	26	$58.88	$66.07	$72.44
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $60.26 / $85.11 / $109.65	Facility	26	$60.26	$85.11	$109.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $501.19 / $977.24	Professional		$398.11	$501.19	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $67.61 / $128.82	Professional	26	$53.70	$67.61	$128.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $426.58 / $851.14	Professional	TC	$338.84	$426.58	$851.14
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $645.65 / $1,000.00	Professional		$457.09	$645.65	$1,000.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $95.50	Facility	26	$54.95	$54.95	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $309.03 / $478.63	Professional		$123.03	$309.03	$478.63
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $54.95 / $95.50	Professional	26	$53.70	$54.95	$95.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $338.84 / $380.19	Professional	TC	$186.21	$338.84	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $524.81 / $812.83	Professional		$354.81	$524.81	$812.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $77.62 / $123.03	Professional	26	$51.29	$77.62	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $446.68 / $691.83	Professional	TC	$302.00	$446.68	$691.83

Pennsylvania rates for HCPCS 95805