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 $54.95 / $120.23 / $199.53	Facility	26	$54.95	$120.23	$199.53
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $288.40	Professional		$117.49	$165.96	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $57.54 / $128.82	Professional	26	$42.66	$57.54	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $109.65 / $218.78	Professional	TC	$74.13	$109.65	$218.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $70.79	Professional	26	$69.18	$69.18	$70.79
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $134.90 / $269.15	Professional		$128.82	$134.90	$269.15
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $46.77 / $95.50	Professional	26	$44.67	$46.77	$95.50
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $87.10 / $194.98	Professional	TC	$83.18	$87.10	$194.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $204.17 / $346.74	Professional		$125.89	$204.17	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $57.54 / $93.33	Professional	26	$34.67	$57.54	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $144.54 / $239.88	Professional	TC	$83.18	$144.54	$239.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $181.97 / $223.87	Professional		$134.90	$181.97	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $60.26 / $74.13	Professional	26	$45.71	$60.26	$74.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $125.89 / $181.97	Professional	TC	$93.33	$125.89	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $162.18 / $275.42	Professional		$123.03	$162.18	$275.42
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $97.72	Professional	26	$39.81	$53.70	$97.72
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $107.15 / $181.97	Professional	TC	$79.43	$107.15	$181.97
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $56.23 / $269.15	Professional	26	$51.29	$56.23	$269.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $50.12 / $91.20 / $158.49	Facility	26	$50.12	$91.20	$158.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $354.81	Professional		$123.03	$173.78	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $112.20	Professional	26	$43.65	$56.23	$112.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $117.49 / $218.78	Professional	TC	$75.86	$117.49	$218.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $257.04 / $338.84	Professional		$79.43	$257.04	$338.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $44.67 / $52.48 / $52.48	Facility	26	$44.67	$52.48	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $117.49 / $407.38	Professional		$40.74	$117.49	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $44.67 / $52.48	Professional	26	$43.65	$44.67	$52.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $83.18 / $134.90	Professional	TC	$79.43	$83.18	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $169.82 / $281.84	Professional		$123.03	$169.82	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $95.50	Professional	26	$39.81	$53.70	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $117.49 / $204.17	Professional	TC	$79.43	$117.49	$204.17

Pennsylvania rates for HCPCS 76380