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 Typical Low / Median / Typical High $446.68 / $1,445.44 / $1,479.11	Facility		$446.68	$1,445.44	$1,479.11
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $245.47 / $707.95 / $707.95	Facility	26	$245.47	$707.95	$707.95
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $263.03 / $691.83 / $2,691.53	Facility	TC	$263.03	$691.83	$2,691.53
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $398.11 / $1,000.00	Professional		$316.23	$398.11	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $151.36 / $194.98 / $562.34	Professional	26	$151.36	$194.98	$562.34
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $229.09 / $758.58	Professional	TC	$154.88	$229.09	$758.58
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	26	$323.59	$323.59	$323.59
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $371.54 / $602.56	Professional		$354.81	$371.54	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $177.83 / $302.00	Professional	26	$173.78	$177.83	$302.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $190.55 / $309.03	Professional	TC	$186.21	$190.55	$309.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional	TC	$173.78	$173.78	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $524.81 / $549.54	Professional		$363.08	$524.81	$549.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $239.88 / $251.19	Professional	26	$162.18	$239.88	$251.19
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $288.40 / $295.12	Professional	TC	$194.98	$288.40	$295.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $562.34 / $891.25	Professional		$389.05	$562.34	$891.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $199.53 / $338.84	Professional	26	$144.54	$199.53	$338.84
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $309.03 / $549.54	Professional	TC	$199.53	$309.03	$549.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $1,288.25 / $1,288.25 / $1,288.25	Facility	TC	$1,288.25	$1,288.25	$1,288.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $389.05	Professional		$380.19	$380.19	$389.05
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $186.21 / $218.78	Professional	26	$173.78	$186.21	$218.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Professional		$407.38	$407.38	$407.38
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $524.81	Facility		$512.86	$512.86	$524.81
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $245.47 / $245.47 / $257.04	Facility	26	$245.47	$245.47	$257.04
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility	TC	$263.03	$263.03	$263.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $446.68 / $1,148.15	Professional		$316.23	$446.68	$1,148.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $194.98 / $416.87	Professional	26	$144.54	$194.98	$416.87
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $239.88 / $645.65	Professional	TC	$154.88	$239.88	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $1,000.00 / $1,698.24	Professional		$537.03	$1,000.00	$1,698.24
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $354.81 / $588.84	Professional		$83.18	$354.81	$588.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $169.82 / $173.78	Professional	26	$169.82	$169.82	$173.78
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $173.78 / $389.05	Professional	TC	$173.78	$173.78	$389.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $354.81 / $645.65	Professional		$199.53	$354.81	$645.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $181.97 / $302.00	Professional	26	$100.00	$181.97	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $165.96 / $316.23	Professional	TC	$91.20	$165.96	$316.23

Pennsylvania rates for HCPCS G0416