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 Professional Modifier Typical Low / Median / Typical High $72.44 / $100.00 / $173.78	Professional		$72.44	$100.00	$173.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.20 / $39.81	Professional	26	$14.13	$18.20	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $83.18 / $141.25	Professional	TC	$60.26	$83.18	$141.25
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $194.98	Professional		$104.71	$109.65	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $19.50 / $36.31	Professional	26	$18.62	$19.50	$36.31
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $89.13 / $147.91	Professional	TC	$87.10	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $104.71 / $204.17	Professional		$64.57	$104.71	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $22.91 / $37.15	Professional	26	$14.79	$22.91	$37.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $83.18 / $169.82	Professional	TC	$45.71	$83.18	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $158.49 / $194.98	Professional		$117.49	$158.49	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $25.70 / $30.20	Professional	26	$18.62	$25.70	$30.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $131.83 / $162.18	Professional	TC	$97.72	$131.83	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $114.82 / $218.78	Professional		$45.71	$114.82	$218.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $21.88 / $39.81	Professional	26	$15.49	$21.88	$39.81
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $93.33 / $158.49	Professional	TC	$30.90	$93.33	$158.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $144.54	Professional		$75.86	$100.00	$144.54
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $16.98 / $30.20	Professional	26	$15.14	$16.98	$30.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $83.18 / $141.25	Professional	TC	$60.26	$83.18	$141.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $104.71 / $208.93	Professional		$33.88	$104.71	$208.93
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $72.44 / $309.03	Professional		$6.76	$72.44	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $19.05 / $19.50	Professional	26	$18.20	$19.05	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $93.33 / $102.33	Professional	TC	$36.31	$93.33	$102.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $109.65 / $204.17	Professional		$61.66	$109.65	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.89 / $37.15	Professional	26	$15.14	$20.89	$37.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $91.20 / $169.82	Professional	TC	$46.77	$91.20	$169.82

Pennsylvania rates for HCPCS 76120