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 $41.69 / $100.00 / $154.88	Facility	26	$41.69	$100.00	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $100.00 / $416.87	Professional		$70.79	$100.00	$416.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $51.29 / $141.25	Professional	26	$35.48	$51.29	$141.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $51.29 / $213.80	Professional	TC	$32.36	$51.29	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $107.15	Professional		$64.57	$64.57	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $57.54 / $72.44	Professional	26	$44.67	$57.54	$72.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $112.20	Professional		$89.13	$89.13	$112.20
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $60.26	Professional	26	$46.77	$46.77	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $169.82	Professional		$77.62	$77.62	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.90 / $75.86	Professional	26	$37.15	$38.90	$75.86
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $41.69 / $70.79	Professional	TC	$39.81	$41.69	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $114.82 / $208.93	Professional		$64.57	$114.82	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $47.86 / $75.86	Professional	26	$28.84	$47.86	$75.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $61.66 / $151.36	Professional	TC	$31.62	$61.66	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $131.83	Professional		$81.28	$109.65	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $50.12 / $60.26	Professional	26	$37.15	$50.12	$60.26
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $57.54 / $72.44	Professional	TC	$43.65	$57.54	$72.44
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $208.93	Professional		$81.28	$123.03	$208.93
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $47.86 / $79.43	Professional	26	$36.31	$47.86	$79.43
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $67.61 / $144.54	Professional	TC	$39.81	$67.61	$144.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $114.82	Professional		$85.11	$112.20	$114.82
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $40.74 / $64.57	Professional	26	$37.15	$40.74	$64.57
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $1,348.96	Professional		$89.13	$112.20	$1,348.96
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $77.62	Professional	26	$42.66	$46.77	$77.62
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $63.10 / $128.82	Facility	26	$41.69	$63.10	$128.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $275.42	Professional		$70.79	$104.71	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $51.29 / $95.50	Professional	26	$36.31	$51.29	$95.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $56.23 / $177.83	Professional	TC	$33.11	$56.23	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $151.36 / $229.09	Professional		$40.74	$151.36	$229.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $43.65	Facility	26	$37.15	$37.15	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $81.28 / $186.21	Professional		$38.02	$81.28	$186.21
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $37.15 / $38.90	Professional	26	$36.31	$37.15	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $36.31 / $39.81	Professional	TC	$35.48	$36.31	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $95.50 / $177.83	Professional		$63.10	$95.50	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $44.67 / $89.13	Professional	26	$32.36	$44.67	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $125.89	Professional	TC	$28.18	$44.67	$125.89

Pennsylvania rates for HCPCS 76377