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 $102.33 / $302.00 / $660.69	Facility		$102.33	$302.00	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $41.69 / $91.20	Facility	26	$24.55	$41.69	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $154.88 / $478.63	Professional		$95.50	$154.88	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $41.69 / $95.50	Professional	26	$24.55	$41.69	$95.50
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $43.65 / $239.88	Professional	52	$28.18	$43.65	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $100.00 / $223.87	Professional	TC	$69.18	$100.00	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $87.10 / $162.18	Professional		$79.43	$87.10	$162.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $42.66	Professional	26	$20.42	$27.54	$42.66
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	TC	$123.03	$123.03	$123.03
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $4,168.69 / $11,220.18	Facility		$114.82	$4,168.69	$11,220.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $186.21	Professional		$147.91	$147.91	$186.21
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $43.65	Professional	26	$33.88	$33.88	$43.65
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $112.20 / $134.90	Professional	TC	$112.20	$112.20	$134.90
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 $104.71 / $138.04 / $204.17	Professional		$104.71	$138.04	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $64.57	Professional	26	$26.92	$34.67	$64.57
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $102.33 / $154.88	Professional	TC	$79.43	$102.33	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $204.17 / $281.84	Facility		$100.00	$204.17	$281.84
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $213.80	Professional		$87.10	$125.89	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $33.11 / $53.70	Professional	26	$21.38	$33.11	$53.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $95.50 / $162.18	Professional	TC	$60.26	$95.50	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $229.09	Professional		$112.20	$151.36	$229.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $56.23	Professional	26	$26.92	$36.31	$56.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $117.49 / $169.82	Professional	TC	$85.11	$117.49	$169.82
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $870.96	Facility		$83.18	$83.18	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $117.49 / $186.21	Professional		$72.44	$117.49	$186.21
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $33.88 / $47.86	Professional	26	$23.44	$33.88	$47.86
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $85.11 / $131.83	Professional	TC	$47.86	$85.11	$131.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $275.42 / $457.09	Facility		$162.18	$275.42	$457.09
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $134.90 / $154.88	Professional		$120.23	$134.90	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $32.36 / $45.71	Professional	26	$28.84	$32.36	$45.71
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	52	$72.44	$72.44	$72.44
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $123.03 / $151.36	Professional	TC	$75.86	$123.03	$151.36
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $6,606.93 / $11,220.18	Facility		$114.82	$6,606.93	$11,220.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $147.91 / $186.21	Professional		$123.03	$147.91	$186.21
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $33.88 / $43.65	Professional	26	$32.36	$33.88	$43.65
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $112.20 / $144.54	Professional	TC	$95.50	$112.20	$144.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $239.88 / $562.34	Facility		$100.00	$239.88	$562.34
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $33.88 / $63.10	Facility	26	$24.55	$33.88	$63.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $245.47	Professional		$93.33	$131.83	$245.47
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $31.62 / $57.54	Professional	26	$22.91	$31.62	$57.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $100.00 / $186.21	Professional	TC	$69.18	$100.00	$186.21
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $223.87 / $446.68	Facility		$165.96	$223.87	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $162.18 / $257.04	Professional		$46.77	$162.18	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $54.95 / $309.03	Facility		$8.71	$54.95	$309.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $34.67	Facility	26	$26.92	$26.92	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $60.26 / $309.03	Professional		$19.95	$60.26	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $34.67	Professional	26	$26.92	$26.92	$34.67
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $79.43 / $89.13	Professional	TC	$70.79	$79.43	$89.13
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 $83.18 / $117.49 / $229.09	Professional		$83.18	$117.49	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $70.79	Professional	26	$21.88	$30.90	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $91.20 / $165.96	Professional	TC	$63.10	$91.20	$165.96

Pennsylvania rates for HCPCS 76536