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 $125.89 / $181.97 / $380.19	Facility	26	$125.89	$181.97	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $794.33 / $1,659.59	Professional		$588.84	$794.33	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $181.97 / $457.09	Professional	26	$117.49	$181.97	$457.09
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $213.80 / $218.78 / $1,258.93	Professional	52	$213.80	$218.78	$1,258.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $616.60 / $1,071.52	Professional	TC	$478.63	$616.60	$1,071.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $660.69 / $676.08	Professional		$645.65	$660.69	$676.08
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $138.04 / $165.96	Professional	26	$114.82	$138.04	$165.96
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $524.81 / $524.81	Professional	TC	$467.74	$524.81	$524.81
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $134.90	Professional	26	$125.89	$125.89	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $776.25 / $1,288.25	Professional		$676.08	$776.25	$1,288.25
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $158.49 / $263.03	Professional	26	$128.82	$158.49	$263.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $616.60 / $1,023.29	Professional	TC	$537.03	$616.60	$1,023.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $912.01 / $1,445.44	Professional		$616.60	$912.01	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $186.21 / $295.12	Professional	26	$117.49	$186.21	$295.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $741.31 / $1,174.90	Professional	TC	$489.78	$741.31	$1,174.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $1,023.29 / $1,479.11	Professional		$602.56	$1,023.29	$1,479.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $186.21 / $251.19	Professional	26	$123.03	$186.21	$251.19
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $602.56 / $912.01 / $1,202.26	Professional	TC	$602.56	$912.01	$1,202.26
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $660.69 / $1,258.93	Professional		$630.96	$660.69	$1,258.93
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $147.91 / $229.09	Professional	26	$144.54	$147.91	$229.09
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $489.78 / $512.86 / $977.24	Professional	TC	$489.78	$512.86	$977.24
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $724.44 / $741.31	Professional		$141.25	$724.44	$741.31
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $173.78 / $229.09	Professional	26	$134.90	$173.78	$229.09
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $549.54 / $602.56 / $602.56	Professional	TC	$549.54	$602.56	$602.56
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $125.89 / $125.89 / $134.90	Professional	26	$125.89	$125.89	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $125.89 / $141.25 / $234.42	Facility	26	$125.89	$141.25	$234.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $831.76 / $1,479.11	Professional		$616.60	$831.76	$1,479.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $151.36 / $275.42	Professional	26	$120.23	$151.36	$275.42
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $501.19 / $676.08 / $1,202.26	Professional	TC	$501.19	$676.08	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $831.76 / $1,412.54	Professional		$229.09	$831.76	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $213.80	Facility	26	$120.23	$120.23	$213.80
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $407.38 / $660.69	Professional		$309.03	$407.38	$660.69
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $120.23 / $213.80	Professional	26	$117.49	$120.23	$213.80
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $489.78 / $630.96	Professional	TC	$478.63	$489.78	$630.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $794.33 / $1,258.93	Professional		$549.54	$794.33	$1,258.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $162.18 / $251.19	Professional	26	$107.15	$162.18	$251.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $645.65 / $1,047.13	Professional	TC	$446.68	$645.65	$1,047.13

Pennsylvania rates for HCPCS 95811