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 $13.49 / $23.44 / $50.12	Facility	26	$13.49	$23.44	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $56.23 / $147.91	Professional		$34.67	$56.23	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $15.49 / $44.67	Professional	26	$8.51	$15.49	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $35.48 / $134.90	Professional	TC	$21.88	$35.48	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.89 / $24.55	Professional	26	$12.88	$20.89	$24.55
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $70.79	Professional		$53.70	$53.70	$70.79
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $19.05 / $20.42	Professional	26	$18.20	$19.05	$20.42
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $53.70 / $97.72	Professional		$41.69	$53.70	$97.72
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.49 / $24.55	Professional	26	$15.14	$15.49	$24.55
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $37.15 / $83.18	Professional	TC	$26.92	$37.15	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $66.07 / $125.89	Professional		$38.02	$66.07	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.59 / $26.92	Professional	26	$7.94	$12.59	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $52.48 / $107.15	Professional	TC	$26.30	$52.48	$107.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $61.66 / $75.86	Professional		$45.71	$61.66	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.89 / $25.70	Professional	26	$15.49	$20.89	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $39.81 / $50.12	Professional	TC	$30.20	$39.81	$50.12
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $57.54 / $112.20	Professional		$41.69	$57.54	$112.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $15.85 / $26.30	Professional	26	$6.76	$15.85	$26.30
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $43.65 / $81.28	Professional	TC	$28.84	$43.65	$81.28
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.62 / $25.70	Professional	26	$10.96	$18.62	$25.70
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $63.10	Professional		$53.70	$53.70	$63.10
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $19.05 / $22.91	Professional	26	$16.22	$19.05	$22.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $19.05 / $27.54	Facility	26	$13.49	$19.05	$27.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $61.66 / $125.89	Professional		$36.31	$61.66	$125.89
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.14 / $30.20	Professional	26	$7.94	$15.14	$30.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $41.69 / $100.00	Professional	TC	$22.91	$41.69	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $114.82	Professional		$79.43	$79.43	$114.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $15.14 / $15.14	Facility	26	$9.55	$15.14	$15.14
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $35.48 / $95.50	Professional		$7.08	$35.48	$95.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.49 / $15.85	Professional	26	$14.79	$15.49	$15.85
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $29.51	Professional	TC	$26.30	$26.30	$29.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $107.15	Professional		$36.31	$54.95	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $15.85 / $31.62	Professional	26	$7.94	$15.85	$31.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $91.20	Professional	TC	$22.91	$36.31	$91.20

Pennsylvania rates for HCPCS 76000