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 $23.44 / $58.88 / $100.00	Facility	26	$23.44	$58.88	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $102.33	Professional		$34.67	$47.86	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.38 / $47.86	Professional	26	$16.98	$21.38	$47.86
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $46.77 / $123.03	Professional		$45.71	$46.77	$123.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.91 / $50.12	Professional	26	$22.39	$22.91	$50.12
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.37 / $25.12 / $36.31	Facility	26	$5.37	$25.12	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $77.62 / $128.82	Professional		$42.66	$77.62	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $32.36 / $50.12	Professional	26	$18.62	$32.36	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $100.00	Professional		$48.98	$66.07	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $47.86	Professional	26	$22.91	$30.90	$47.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $66.07 / $100.00	Professional		$46.77	$66.07	$100.00
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.20 / $46.77	Professional	26	$21.88	$30.20	$46.77
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $58.88 / $100.00	Facility	26	$19.05	$58.88	$100.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $47.86 / $125.89	Professional		$34.67	$47.86	$125.89
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $21.88 / $51.29	Professional	26	$16.98	$21.88	$51.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $169.82	Professional		$85.11	$123.03	$169.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $29.51	Facility	26	$21.88	$21.88	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $20.42 / $72.44	Professional		$15.85	$20.42	$72.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.88 / $29.51	Professional	26	$21.38	$21.88	$29.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $57.54 / $107.15	Professional		$40.74	$57.54	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $25.70 / $46.77	Professional	26	$19.05	$25.70	$46.77

Pennsylvania rates for HCPCS 76516