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 / $37.15 / $64.57	Facility	26	$26.30	$37.15	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $54.95 / $213.80	Professional		$34.67	$54.95	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.20 / $66.07	Professional	26	$22.91	$30.20	$66.07
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $33.11 / $309.03 / $323.59	Professional	52	$33.11	$309.03	$323.59
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $23.44 / $75.86	Professional	TC	$15.85	$23.44	$75.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $40.74	Professional		$32.36	$33.11	$40.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $40.74 / $53.70	Professional	26	$25.70	$40.74	$53.70
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional	TC	$13.49	$13.49	$13.49
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $60.26	Professional		$56.23	$56.23	$60.26
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $39.81	Professional	26	$30.20	$30.20	$39.81
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $44.67 / $100.00	Professional		$43.65	$44.67	$100.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $56.23	Professional	26	$28.18	$29.51	$56.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $15.49 / $44.67	Professional	TC	$14.79	$15.49	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	26	$25.70	$25.70	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $11.75 / $11.75	Professional	TC	$11.75	$11.75	$11.75
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $67.61	Professional		$41.69	$56.23	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $44.67	Professional	26	$28.18	$38.90	$44.67
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $18.62 / $21.88	Professional	TC	$13.49	$18.62	$21.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $85.11	Professional		$40.74	$54.95	$85.11
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $60.26	Professional	26	$24.55	$32.36	$60.26
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $19.95 / $32.36	Professional	TC	$12.88	$19.95	$32.36
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $52.48 / $60.26	Professional		$47.86	$52.48	$60.26
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $31.62 / $39.81	Professional	26	$30.20	$31.62	$39.81
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Professional	TC	$21.88	$21.88	$21.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $74.13	Professional		$47.86	$56.23	$74.13
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $102.33	Professional	26	$30.20	$30.20	$102.33
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $37.15 / $64.57	Facility	26	$26.30	$37.15	$64.57
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $57.54 / $117.49	Professional		$41.69	$57.54	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $32.36 / $66.07	Professional	26	$23.44	$32.36	$66.07
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $24.55 / $54.95	Professional	TC	$16.98	$24.55	$54.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $50.12 / $81.28	Professional		$12.88	$50.12	$81.28
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $33.11	Facility	26	$28.84	$28.84	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $42.66 / $74.13	Professional		$15.14	$42.66	$74.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.84 / $33.11	Professional	26	$27.54	$28.84	$33.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.91 / $26.30	Professional	TC	$22.39	$22.91	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $61.66 / $100.00	Professional		$42.66	$61.66	$100.00
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $34.67 / $58.88	Professional	26	$23.99	$34.67	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $26.92 / $44.67	Professional	TC	$16.60	$26.92	$44.67

Pennsylvania rates for HCPCS G0279