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 $42.66 / $85.11 / $162.18	Facility	26	$42.66	$85.11	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $218.78 / $549.54	Professional		$120.23	$218.78	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $77.62 / $177.83	Professional	26	$42.66	$77.62	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $114.82 / $190.55	Professional	TC	$72.44	$114.82	$190.55
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $208.93	Professional		$85.11	$123.03	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $66.07 / $91.20	Professional	26	$38.02	$66.07	$91.20
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $52.48 / $128.82	Professional	TC	$48.98	$52.48	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $177.83 / $309.03	Professional		$158.49	$177.83	$309.03
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $58.88 / $66.07	Professional	26	$29.51	$58.88	$66.07
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $134.90	Professional	TC	$117.49	$117.49	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $288.40	Professional		$128.82	$173.78	$288.40
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $117.49	Professional	26	$46.77	$63.10	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $109.65 / $173.78	Professional	TC	$83.18	$109.65	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $77.62	Facility	26	$11.48	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $263.03	Professional		$109.65	$162.18	$263.03
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 $70.79 / $107.15 / $169.82	Professional	TC	$70.79	$107.15	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $190.55 / $288.40	Professional		$141.25	$190.55	$288.40
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $64.57 / $100.00	Professional	26	$47.86	$64.57	$100.00
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $125.89 / $186.21	Professional	TC	$93.33	$125.89	$186.21
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $257.04	Professional		$109.65	$162.18	$257.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $60.26 / $85.11	Professional	26	$40.74	$60.26	$85.11
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $100.00 / $169.82	Professional	TC	$64.57	$100.00	$169.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $158.49 / $251.19	Professional		$144.54	$158.49	$251.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $51.29 / $70.79	Professional	26	$48.98	$51.29	$70.79
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $128.82 / $134.90	Professional	TC	$87.10	$128.82	$134.90
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $234.42	Professional		$177.83	$177.83	$234.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $58.88 / $70.79	Professional	26	$29.51	$58.88	$70.79
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $134.90	Professional	TC	$117.49	$117.49	$134.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $61.66 / $138.04	Facility	26	$42.66	$61.66	$138.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $309.03	Professional		$112.20	$165.96	$309.03
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 $72.44 / $107.15 / $199.53	Professional	TC	$72.44	$107.15	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $239.88 / $316.23	Professional		$87.10	$239.88	$316.23
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $53.70	Facility	26	$46.77	$46.77	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $97.72 / $162.18	Professional		$64.57	$97.72	$162.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $53.70	Professional	26	$46.77	$46.77	$53.70
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $85.11 / $93.33	Professional	TC	$83.18	$85.11	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $281.84	Professional		$109.65	$147.91	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $107.15	Professional	26	$38.90	$54.95	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $97.72 / $186.21	Professional	TC	$70.79	$97.72	$186.21

Pennsylvania rates for HCPCS 76805