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 $91.20 / $169.82 / $354.81	Facility	26	$91.20	$169.82	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $446.68 / $1,862.09	Professional		$316.23	$446.68	$1,862.09
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $125.89 / $346.74	Professional	26	$89.13	$125.89	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $316.23 / $616.60	Professional	TC	$223.87	$316.23	$616.60
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $457.09 / $501.19	Professional		$229.09	$457.09	$501.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $134.90 / $151.36	Professional	26	$77.62	$134.90	$151.36
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $602.56	Professional		$467.74	$467.74	$602.56
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $117.49 / $154.88	Professional	26	$112.20	$117.49	$154.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $436.52 / $831.76	Professional		$354.81	$436.52	$831.76
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $123.03 / $204.17	Professional	26	$100.00	$123.03	$204.17
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $316.23 / $660.69	Professional	TC	$251.19	$316.23	$660.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $501.19 / $794.33	Professional		$302.00	$501.19	$794.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $117.49 / $194.98	Professional	26	$69.18	$117.49	$194.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $371.54 / $602.56	Professional	TC	$213.80	$371.54	$602.56
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $467.74 / $707.95	Professional		$346.74	$467.74	$707.95
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $125.89 / $165.96	Professional	26	$93.33	$125.89	$165.96
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $426.58	Professional	TC	$257.04	$338.84	$426.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $416.87 / $707.95	Professional		$316.23	$416.87	$707.95
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $107.15 / $199.53	Professional	26	$77.62	$107.15	$199.53
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $316.23 / $537.03	Professional	TC	$234.42	$316.23	$537.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $416.87 / $549.54	Professional		$363.08	$416.87	$549.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $112.20 / $147.91	Professional	26	$100.00	$112.20	$147.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $446.68 / $457.09	Professional	TC	$371.54	$446.68	$457.09
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $467.74 / $602.56	Professional		$389.05	$467.74	$602.56
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $117.49 / $151.36	Professional	26	$112.20	$117.49	$151.36
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $125.89 / $223.87	Facility	26	$91.20	$125.89	$223.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $831.76	Professional		$323.59	$436.52	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $117.49 / $208.93	Professional	26	$83.18	$117.49	$208.93
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $323.59 / $575.44	Professional	TC	$239.88	$323.59	$575.44
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $323.59 / $741.31	Professional		$104.71	$323.59	$741.31
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $100.00	Facility	26	$93.33	$93.33	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $371.54 / $812.83	Professional		$309.03	$371.54	$812.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $93.33 / $100.00	Professional	26	$91.20	$93.33	$100.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $245.47 / $416.87	Professional	TC	$239.88	$245.47	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $707.95	Professional		$309.03	$416.87	$707.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $112.20 / $199.53	Professional	26	$81.28	$112.20	$199.53
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $316.23 / $537.03	Professional	TC	$213.80	$316.23	$537.03

Pennsylvania rates for HCPCS 74178