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 $41.69 / $83.18 / $158.49	Facility	26	$41.69	$83.18	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $199.53 / $549.54	Professional		$107.15	$199.53	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $75.86 / $177.83	Professional	26	$41.69	$75.86	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $89.13 / $199.53	Professional	TC	$57.54	$89.13	$199.53
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $95.50 / $173.78	Professional		$77.62	$95.50	$173.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $66.07 / $89.13	Professional	26	$36.31	$66.07	$89.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $64.57 / $102.33	Professional	TC	$41.69	$64.57	$102.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $165.96	Professional		$151.36	$151.36	$165.96
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $58.88 / $63.10	Professional	26	$29.51	$58.88	$63.10
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $104.71	Professional	TC	$93.33	$93.33	$104.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $288.40	Professional		$112.20	$147.91	$288.40
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $60.26 / $117.49	Professional	26	$46.77	$60.26	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $85.11 / $173.78	Professional	TC	$66.07	$85.11	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $75.86	Facility	26	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $229.09	Professional		$95.50	$144.54	$229.09
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $58.88 / $93.33	Professional	26	$38.02	$58.88	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $89.13 / $141.25	Professional	TC	$56.23	$89.13	$141.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $162.18 / $245.47	Professional		$120.23	$162.18	$245.47
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $100.00	Professional	26	$46.77	$63.10	$100.00
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $100.00 / $147.91	Professional	TC	$74.13	$100.00	$147.91
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $223.87	Professional		$100.00	$147.91	$223.87
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $58.88 / $83.18	Professional	26	$40.74	$58.88	$83.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $87.10 / $134.90	Professional	TC	$60.26	$87.10	$134.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $141.25 / $194.98	Professional		$128.82	$141.25	$194.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $56.23 / $79.43	Professional	26	$47.86	$56.23	$79.43
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $102.33 / $109.65	Professional	TC	$83.18	$102.33	$109.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $181.97	Professional		$151.36	$151.36	$181.97
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $58.88 / $67.61	Professional	26	$29.51	$58.88	$67.61
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $104.71	Professional	TC	$93.33	$93.33	$104.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $60.26 / $134.90	Facility	26	$41.69	$60.26	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $144.54 / $269.15	Professional		$97.72	$144.54	$269.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $56.23 / $102.33	Professional	26	$39.81	$56.23	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $87.10 / $162.18	Professional	TC	$57.54	$87.10	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $194.98 / $269.15	Professional		$70.79	$194.98	$269.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $57.54 / $57.54	Facility	26	$46.77	$57.54	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $87.10 / $323.59	Professional		$20.89	$87.10	$323.59
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $57.54	Professional	26	$46.77	$46.77	$57.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $67.61 / $75.86	Professional	TC	$66.07	$67.61	$75.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $128.82 / $245.47	Professional		$91.20	$128.82	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $102.33	Professional	26	$38.90	$54.95	$102.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $79.43 / $147.91	Professional	TC	$58.88	$79.43	$147.91

Pennsylvania rates for HCPCS 76801