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 $53.70 / $79.43 / $123.03	Facility	26	$53.70	$79.43	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $457.09 / $1,047.13	Professional		$338.84	$457.09	$1,047.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $81.28 / $165.96	Professional	26	$52.48	$81.28	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $380.19 / $645.65	Professional	TC	$288.40	$380.19	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $501.19 / $575.44	Professional		$416.87	$501.19	$575.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $67.61 / $109.65	Professional	26	$54.95	$67.61	$109.65
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Professional	TC	$389.05	$389.05	$389.05
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $549.54	Professional		$478.63	$478.63	$549.54
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $66.07	Professional	26	$58.88	$58.88	$66.07
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $446.68 / $741.31	Professional		$380.19	$446.68	$741.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $57.54 / $114.82	Professional	26	$54.95	$57.54	$114.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $389.05 / $645.65	Professional	TC	$331.13	$389.05	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $446.68 / $851.14	Professional		$213.80	$446.68	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $123.03	Professional	26	$52.48	$70.79	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $389.05 / $776.25	Professional	TC	$162.18	$389.05	$776.25
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 $56.23 / $85.11 / $114.82	Professional	26	$56.23	$85.11	$114.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $676.08 / $891.25	Professional	TC	$446.68	$676.08	$891.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $524.81 / $933.25	Professional		$446.68	$524.81	$933.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $67.61 / $114.82	Professional	26	$56.23	$67.61	$114.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $436.52 / $758.58	Professional	TC	$125.89	$436.52	$758.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $501.19 / $562.34	Professional		$70.79	$501.19	$562.34
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $67.61 / $95.50	Professional	26	$60.26	$67.61	$95.50
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $524.81	Professional		$478.63	$478.63	$524.81
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $63.10	Professional	26	$58.88	$58.88	$63.10
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $79.43 / $117.49	Facility	26	$54.95	$79.43	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $501.19 / $954.99	Professional		$354.81	$501.19	$954.99
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $66.07 / $120.23	Professional	26	$51.29	$66.07	$120.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $436.52 / $831.76	Professional	TC	$302.00	$436.52	$831.76
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $478.63 / $1,071.52	Professional		$213.80	$478.63	$1,071.52
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $67.61 / $67.61	Facility	26	$54.95	$67.61	$67.61
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $50.12 / $426.58	Professional		$46.77	$50.12	$426.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $54.95 / $67.61	Professional	26	$53.70	$54.95	$67.61
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $363.08 / $407.38	Professional	TC	$245.47	$363.08	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $446.68 / $812.83	Professional		$204.17	$446.68	$812.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $69.18 / $109.65	Professional	26	$47.86	$69.18	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $398.11 / $707.95	Professional	TC	$181.97	$398.11	$707.95

Pennsylvania rates for HCPCS 95819