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 $85.11 / $223.87 / $489.78	Facility		$85.11	$223.87	$489.78
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $57.54 / $112.20	Facility	26	$28.84	$57.54	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $95.50 / $398.11	Professional		$44.67	$95.50	$398.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $53.70 / $128.82	Professional	26	$28.84	$53.70	$128.82
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $165.96 / $660.69	Professional	50	$66.07	$165.96	$660.69
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $58.88 / $147.91	Professional	TC	$42.66	$58.88	$147.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $91.20	Professional		$66.07	$66.07	$91.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $46.77 / $61.66	Professional	26	$25.12	$46.77	$61.66
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $97.72 / $97.72 / $100.00	Professional	50	$97.72	$97.72	$100.00
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $77.62 / $79.43	Professional	TC	$45.71	$77.62	$79.43
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $2,137.96 / $5,754.40	Facility		$95.50	$2,137.96	$5,754.40
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $112.20	Professional		$91.20	$91.20	$112.20
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $45.71	Professional	26	$33.88	$33.88	$45.71
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $57.54 / $74.13	Professional	TC	$57.54	$57.54	$74.13
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 $91.20 / $104.71 / $158.49	Professional		$91.20	$104.71	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $40.74 / $64.57	Professional	26	$35.48	$40.74	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $134.90 / $158.49 / $239.88	Professional	50	$134.90	$158.49	$239.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $63.10 / $95.50	Professional	TC	$54.95	$63.10	$95.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $147.91 / $223.87	Facility		$64.57	$147.91	$223.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $104.71 / $162.18	Professional		$67.61	$104.71	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $41.69 / $64.57	Professional	26	$25.70	$41.69	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $64.57 / $100.00	Professional	TC	$41.69	$64.57	$100.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $117.49 / $177.83	Professional		$85.11	$117.49	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $67.61	Professional	26	$31.62	$42.66	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $74.13 / $109.65	Professional	TC	$53.70	$74.13	$109.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $144.54	Professional		$70.79	$97.72	$144.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $37.15 / $56.23	Professional	26	$27.54	$37.15	$56.23
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $57.54 / $87.10	Professional	TC	$40.74	$57.54	$87.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $194.98 / $346.74	Facility		$70.79	$194.98	$346.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $95.50 / $112.20	Professional		$89.13	$95.50	$112.20
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.90 / $56.23	Professional	26	$36.31	$38.90	$56.23
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $56.23 / $134.90 / $169.82	Professional	50	$56.23	$134.90	$169.82
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $93.33	Professional	TC	$67.61	$67.61	$93.33
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $2,137.96 / $4,570.88	Facility		$112.20	$2,137.96	$4,570.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $144.54	Professional		$91.20	$91.20	$144.54
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $54.95	Professional	26	$33.88	$33.88	$54.95
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $74.13 / $323.59	Professional	TC	$57.54	$74.13	$323.59
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $186.21 / $295.12	Facility		$77.62	$186.21	$295.12
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $77.62	Facility	26	$28.84	$41.69	$77.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $194.98	Professional		$70.79	$97.72	$194.98
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.02 / $70.79	Professional	26	$26.92	$38.02	$70.79
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $61.66 / $120.23	Professional	TC	$42.66	$61.66	$120.23
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $338.84 / $457.09	Facility		$323.59	$338.84	$457.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $81.28 / $169.82	Professional		$35.48	$81.28	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $53.70 / $93.33	Facility		$34.67	$53.70	$93.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $38.02 / $38.02	Facility	26	$32.36	$38.02	$38.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $77.62 / $117.49	Professional		$34.67	$77.62	$117.49
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $33.11 / $38.02	Professional	26	$32.36	$33.11	$38.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $51.29 / $56.23	Professional	TC	$48.98	$51.29	$56.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $257.04 / $295.12	Facility		$141.25	$257.04	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $93.33 / $173.78	Professional		$69.18	$93.33	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $37.15 / $79.43	Professional	26	$26.92	$37.15	$79.43
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $123.03 / $125.89	Professional	50	$123.03	$123.03	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $58.88 / $104.71	Professional	TC	$41.69	$58.88	$104.71

Pennsylvania rates for HCPCS 76642