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 $44.67 / $87.10 / $177.83	Facility	26	$44.67	$87.10	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $363.08	Professional		$72.44	$107.15	$363.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $43.65 / $138.04	Professional	26	$16.98	$43.65	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $58.88 / $331.13	Professional	TC	$41.69	$58.88	$331.13
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $87.10	Professional	26	$60.26	$60.26	$87.10
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $57.54 / $63.10	Professional	26	$51.29	$57.54	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $45.71 / $60.26	Professional	26	$28.84	$45.71	$60.26
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $50.12 / $154.88	Professional	TC	$47.86	$50.12	$154.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $537.03	Professional		$77.62	$154.88	$537.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $29.51 / $77.62	Professional	26	$16.98	$29.51	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $107.15 / $501.19	Professional	TC	$47.86	$107.15	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $199.53	Professional		$97.72	$131.83	$199.53
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $60.26 / $72.44	Professional	26	$44.67	$60.26	$72.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $69.18 / $87.10	Professional	TC	$52.48	$69.18	$87.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $199.53 / $489.78	Professional		$100.00	$199.53	$489.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $43.65 / $75.86	Professional	26	$14.79	$43.65	$75.86
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $104.71 / $478.63	Professional	TC	$51.29	$104.71	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $56.23 / $77.62	Professional	26	$51.29	$56.23	$77.62
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $57.54 / $74.13	Professional	26	$45.71	$57.54	$74.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.88 / $44.67 / $70.79	Facility	26	$33.88	$44.67	$70.79
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $125.89 / $309.03	Professional		$79.43	$125.89	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $41.69 / $85.11	Professional	26	$16.98	$41.69	$85.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $74.13 / $213.80	Professional	TC	$42.66	$74.13	$213.80
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $257.04 / $676.08	Professional		$154.88	$257.04	$676.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $58.88	Facility	26	$45.71	$45.71	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $309.03 / $346.74	Professional		$28.84	$309.03	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $45.71 / $46.77	Professional	26	$44.67	$45.71	$46.77
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $48.98 / $53.70	Professional	TC	$47.86	$48.98	$53.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $138.04 / $489.78	Professional		$89.13	$138.04	$489.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $47.86 / $97.72	Professional	26	$17.38	$47.86	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $75.86 / $354.81	Professional	TC	$47.86	$75.86	$354.81

Pennsylvania rates for HCPCS 75774