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 Typical Low / Median / Typical High $45.71 / $158.49 / $338.84	Facility		$45.71	$158.49	$338.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $79.43 / $177.83	Facility	26	$34.67	$79.43	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $87.10 / $204.17	Professional		$41.69	$87.10	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $47.86 / $134.90	Professional	26	$25.12	$47.86	$134.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $186.21 / $346.74	Professional	50	$95.50	$186.21	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $21.88 / $69.18	Professional	TC	$14.13	$21.88	$69.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $46.77 / $72.44	Professional		$34.67	$46.77	$72.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	26	$47.86	$47.86	$47.86
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $234.42 / $1,949.84	Facility		$100.00	$234.42	$1,949.84
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $48.98 / $204.17	Professional		$46.77	$48.98	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $117.49	Professional	26	$30.20	$30.90	$117.49
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $93.33 / $97.72 / $407.38	Professional	50	$93.33	$97.72	$407.38
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $17.38 / $93.33	Professional	TC	$16.98	$17.38	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $60.26 / $257.04	Facility		$37.15	$60.26	$257.04
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $48.98	Facility	26	$7.24	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $95.50 / $162.18	Professional		$44.67	$95.50	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $50.12 / $83.18	Professional	26	$28.18	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $43.65 / $87.10	Professional	TC	$16.98	$43.65	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $104.71	Professional		$50.12	$67.61	$104.71
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $66.07	Professional	26	$30.90	$41.69	$66.07
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $26.30 / $38.02	Professional	TC	$19.05	$26.30	$38.02
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $870.96	Facility		$91.20	$91.20	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $79.43 / $144.54	Professional		$48.98	$79.43	$144.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $44.67 / $67.61	Professional	26	$30.90	$44.67	$67.61
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $29.51 / $81.28	Professional	TC	$17.78	$29.51	$81.28
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $363.08 / $1,995.26	Facility		$151.36	$363.08	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $33.88 / $63.10	Professional	26	$31.62	$33.88	$63.10
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $239.88 / $954.99	Facility		$100.00	$239.88	$954.99
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $70.79 / $309.03	Facility		$26.30	$70.79	$309.03
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $44.67 / $177.83	Facility	26	$25.70	$44.67	$177.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $70.79 / $169.82	Professional		$38.90	$70.79	$169.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $40.74 / $87.10	Professional	26	$25.12	$40.74	$87.10
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $26.30 / $69.18	Professional	TC	$14.13	$26.30	$69.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $199.53	Professional		$87.10	$125.89	$199.53
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $61.66 / $309.03	Facility		$30.90	$61.66	$309.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $50.12	Facility	26	$29.51	$29.51	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $47.86 / $128.82	Professional		$20.42	$47.86	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $50.12	Professional	26	$29.51	$29.51	$50.12
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.60 / $77.62	Professional	TC	$16.60	$16.60	$77.62
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $354.81	Facility		$169.82	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $64.57 / $131.83	Professional		$43.65	$64.57	$131.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $37.15 / $70.79	Professional	26	$26.92	$37.15	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $25.70 / $70.79	Professional	TC	$16.60	$25.70	$70.79

Pennsylvania rates for HCPCS 76512