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 $31.62 / $79.43 / $114.82	Facility	26	$31.62	$79.43	$114.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $75.86 / $158.49	Professional		$53.70	$75.86	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $66.07	Professional	26	$22.91	$28.84	$66.07
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $223.87 / $489.78	Professional	50	$66.07	$223.87	$489.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.90 / $77.62	Professional	TC	$28.18	$38.90	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $64.57	Professional		$52.48	$52.48	$64.57
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $107.15	Professional		$83.18	$83.18	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $134.90 / $199.53	Professional		$131.83	$134.90	$199.53
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $66.07	Professional	26	$30.20	$30.90	$66.07
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $69.18 / $199.53	Professional	50	$66.07	$69.18	$199.53
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $38.02 / $85.11	Professional	TC	$36.31	$38.02	$85.11
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 $56.23 / $91.20 / $138.04	Professional		$56.23	$91.20	$138.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $34.67 / $58.88	Professional	26	$23.44	$34.67	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $56.23 / $87.10	Professional	TC	$32.36	$56.23	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $147.91	Professional		$70.79	$97.72	$147.91
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $41.69 / $64.57	Professional	26	$30.20	$41.69	$64.57
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $56.23 / $81.28	Professional	TC	$40.74	$56.23	$81.28
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $138.04	Professional		$63.10	$87.10	$138.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $35.48 / $54.95	Professional	26	$26.30	$35.48	$54.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $50.12 / $79.43	Professional	TC	$36.31	$50.12	$79.43
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $107.15	Professional		$83.18	$83.18	$107.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $61.66 / $104.71	Facility	26	$25.70	$61.66	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $151.36	Professional		$53.70	$70.79	$151.36
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $63.10	Professional	26	$22.91	$28.84	$63.10
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $41.69 / $89.13	Professional	TC	$28.84	$41.69	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $186.21	Professional		$102.33	$134.90	$186.21
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	26	$29.51	$29.51	$29.51
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $91.20	Professional		$32.36	$51.29	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $29.51 / $30.90	Professional	26	$28.84	$29.51	$30.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $35.48 / $58.88	Professional	TC	$34.67	$35.48	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $74.13 / $134.90	Professional		$54.95	$74.13	$134.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $32.36 / $60.26	Professional	26	$23.44	$32.36	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $39.81 / $77.62	Professional	TC	$30.20	$39.81	$77.62

Pennsylvania rates for HCPCS 76519