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 $24.55 / $52.48 / $91.20	Facility	26	$24.55	$52.48	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $87.10 / $354.81	Professional		$48.98	$87.10	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $38.90 / $97.72	Professional	26	$22.91	$38.90	$97.72
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $43.65 / $79.43 / $426.58	Professional	52	$43.65	$79.43	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $47.86 / $100.00	Professional	TC	$25.12	$47.86	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $57.54	Professional		$47.86	$47.86	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $27.54 / $51.29	Professional	26	$6.76	$27.54	$51.29
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional	52	$13.49	$13.49	$13.49
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $34.67 / $41.69	Professional	26	$32.36	$34.67	$41.69
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	52	$162.18	$162.18	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $158.49	Professional		$56.23	$56.23	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $63.10	Professional	26	$26.92	$33.11	$63.10
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $42.66 / $107.15	Professional	TC	$29.51	$42.66	$107.15
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $89.13 / $151.36	Professional		$56.23	$89.13	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $32.36 / $52.48	Professional	26	$20.89	$32.36	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $57.54 / $100.00	Professional	TC	$29.51	$57.54	$100.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $128.82	Professional		$63.10	$85.11	$128.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $58.88	Professional	26	$28.18	$37.15	$58.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $45.71 / $69.18	Professional	TC	$34.67	$45.71	$69.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $81.28 / $125.89	Professional		$57.54	$81.28	$125.89
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $50.12	Professional	26	$24.55	$33.11	$50.12
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $45.71 / $70.79	Professional	TC	$32.36	$45.71	$70.79
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $70.79 / $75.86	Professional		$64.57	$70.79	$75.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $30.90 / $45.71	Professional	26	$15.49	$30.90	$45.71
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	52	$33.11	$33.11	$33.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $34.67 / $43.65	Professional	26	$32.36	$34.67	$43.65
Independence Blue Cross Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	52	$162.18	$162.18	$162.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $40.74 / $79.43	Facility	26	$24.55	$40.74	$79.43
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $83.18 / $165.96	Professional		$51.29	$83.18	$165.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $32.36 / $61.66	Professional	26	$22.91	$32.36	$61.66
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $50.12 / $109.65	Professional	TC	$25.70	$50.12	$109.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $109.65 / $181.97	Professional		$33.88	$109.65	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $30.20	Facility	26	$27.54	$27.54	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $48.98 / $85.11	Professional		$21.88	$48.98	$85.11
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $30.20	Professional	26	$27.54	$27.54	$30.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $27.54 / $50.12	Professional	TC	$27.54	$27.54	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $81.28 / $147.91	Professional		$60.26	$81.28	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $64.57	Professional	26	$21.88	$30.90	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $51.29 / $93.33	Professional	TC	$34.67	$51.29	$93.33

Pennsylvania rates for HCPCS 76604