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 $33.88 / $85.11 / $123.03	Facility	26	$33.88	$85.11	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $204.17	Professional		$61.66	$79.43	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $85.11	Professional	26	$25.12	$30.90	$85.11
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $173.78 / $204.17 / $407.38	Professional	50	$173.78	$204.17	$407.38
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $87.10	Professional	TC	$33.11	$44.67	$87.10
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $75.86 / $169.82	Professional		$72.44	$75.86	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $33.11 / $64.57	Professional	26	$32.36	$33.11	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $144.54 / $151.36 / $338.84	Professional	50	$144.54	$151.36	$338.84
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $41.69 / $104.71	Professional	TC	$40.74	$41.69	$104.71
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.76 / $36.31 / $51.29	Facility	26	$7.76	$36.31	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $169.82	Professional		$66.07	$104.71	$169.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $40.74 / $64.57	Professional	26	$26.30	$40.74	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $66.07 / $109.65	Professional	TC	$38.90	$66.07	$109.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $162.18	Professional		$79.43	$107.15	$162.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $69.18	Professional	26	$33.11	$44.67	$69.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $63.10 / $91.20	Professional	TC	$45.71	$63.10	$91.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $151.36	Professional		$72.44	$97.72	$151.36
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $61.66	Professional	26	$28.84	$40.74	$61.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $56.23 / $91.20	Professional	TC	$41.69	$56.23	$91.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $69.18 / $117.49	Facility	26	$28.18	$69.18	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $75.86 / $173.78	Professional		$57.54	$75.86	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $64.57	Professional	26	$25.12	$30.90	$64.57
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $107.15	Professional	TC	$33.11	$44.67	$107.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $147.91 / $213.80	Professional		$134.90	$147.91	$213.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $35.48 / $35.48	Facility	26	$31.62	$35.48	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $70.79 / $309.03	Professional		$24.55	$70.79	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $32.36 / $35.48	Professional	26	$30.90	$32.36	$35.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $41.69 / $91.20	Professional	TC	$39.81	$41.69	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $173.78	Professional		$67.61	$102.33	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $37.15 / $67.61	Professional	26	$26.92	$37.15	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $64.57 / $114.82	Professional	TC	$38.90	$64.57	$114.82

Pennsylvania rates for HCPCS 76513