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 / $316.23 / $831.76	Facility		$102.33	$316.23	$831.76
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $61.66 / $120.23	Facility	26	$31.62	$61.66	$120.23
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $81.28 / $251.19 / $912.01	Facility	TC	$81.28	$251.19	$912.01
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $147.91 / $549.54	Professional		$91.20	$147.91	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $125.89	Professional	26	$31.62	$46.77	$125.89
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	52	$181.97	$181.97	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $95.50 / $208.93	Professional	TC	$60.26	$95.50	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $93.33 / $158.49	Professional		$79.43	$93.33	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $50.12 / $54.95	Professional	26	$26.30	$50.12	$54.95
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	TC	$107.15	$107.15	$107.15
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $144.54 / $794.33	Facility		$61.66	$144.54	$794.33
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $154.88 / $2,691.53 / $3,548.13	Facility	TC	$154.88	$2,691.53	$3,548.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $245.47	Professional		$141.25	$141.25	$245.47
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $43.65 / $54.95	Professional	26	$41.69	$43.65	$54.95
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $97.72 / $117.49	Professional	TC	$85.11	$97.72	$117.49
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 Facility Modifier TC Typical Low / Median / Typical High $398.11 / $562.34 / $812.83	Facility	TC	$398.11	$562.34	$812.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $109.65 / $251.19	Professional		$104.71	$109.65	$251.19
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $85.11	Professional	26	$34.67	$46.77	$85.11
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $91.20 / $165.96	Professional	TC	$69.18	$91.20	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $199.53 / $275.42	Facility		$87.10	$199.53	$275.42
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $39.81 / $56.23	Facility	26	$8.51	$39.81	$56.23
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.98 / $79.43 / $112.20	Facility	TC	$16.98	$79.43	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $138.04 / $223.87	Professional		$87.10	$138.04	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $43.65 / $69.18	Professional	26	$28.18	$43.65	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $95.50 / $154.88	Professional	TC	$61.66	$95.50	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $223.87	Professional		$109.65	$147.91	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $72.44	Professional	26	$34.67	$46.77	$72.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $102.33 / $151.36	Professional	TC	$75.86	$102.33	$151.36
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $870.96	Facility		$117.49	$117.49	$870.96
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $870.96	Facility	TC	$117.49	$117.49	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $208.93	Professional		$89.13	$134.90	$208.93
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $43.65 / $61.66	Professional	26	$30.20	$43.65	$61.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $138.04	Professional	TC	$60.26	$91.20	$138.04
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $275.42 / $512.86	Facility		$158.49	$275.42	$512.86
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $204.17 / $380.19 / $724.44	Facility	TC	$204.17	$380.19	$724.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $125.89 / $141.25	Professional		$120.23	$125.89	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $42.66 / $61.66	Professional	26	$38.02	$42.66	$61.66
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $128.82 / $134.90	Professional	TC	$77.62	$128.82	$134.90
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $151.36 / $691.83	Facility		$61.66	$151.36	$691.83
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $275.42 / $1,318.26 / $3,548.13	Facility	TC	$275.42	$1,318.26	$3,548.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $245.47	Professional		$141.25	$141.25	$245.47
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $43.65 / $56.23	Professional	26	$38.90	$43.65	$56.23
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $97.72 / $125.89	Professional	TC	$83.18	$97.72	$125.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $239.88 / $616.60	Facility		$100.00	$239.88	$616.60
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $83.18	Facility	26	$31.62	$43.65	$83.18
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $64.57 / $107.15 / $323.59	Facility	TC	$64.57	$107.15	$323.59
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $134.90 / $251.19	Professional		$91.20	$134.90	$251.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $40.74 / $77.62	Professional	26	$29.51	$40.74	$77.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $173.78	Professional	TC	$60.26	$91.20	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $158.49 / $269.15	Professional		$60.26	$158.49	$269.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $74.13 / $104.71	Facility		$23.99	$74.13	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility	TC	$70.79	$70.79	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $74.13 / $117.49	Professional		$11.22	$74.13	$117.49
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $34.67 / $35.48	Professional	26	$33.88	$34.67	$35.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $70.79 / $77.62	Professional	TC	$69.18	$70.79	$77.62
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 $93.33 / $120.23 / $223.87	Professional		$93.33	$120.23	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $40.74 / $85.11	Professional	26	$29.51	$40.74	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $83.18 / $154.88	Professional	TC	$61.66	$83.18	$154.88

Pennsylvania rates for HCPCS 76770