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 $89.13 / $177.83 / $346.74	Facility	26	$89.13	$177.83	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $933.25	Professional		$151.36	$288.40	$933.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $147.91 / $331.13	Professional	26	$77.62	$147.91	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $275.42 / $346.74	Professional		$144.54	$275.42	$346.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $131.83 / $169.82	Professional	26	$89.13	$131.83	$169.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $218.78 / $288.40	Professional		$213.80	$218.78	$288.40
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $128.82	Professional	26	$112.20	$112.20	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $446.68	Professional		$173.78	$257.04	$446.68
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $123.03 / $229.09	Professional	26	$89.13	$123.03	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $102.33 / $144.54	Facility	26	$21.88	$102.33	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $371.54	Professional		$147.91	$234.42	$371.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $112.20 / $177.83	Professional	26	$74.13	$112.20	$177.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $251.19 / $389.05	Professional		$186.21	$251.19	$389.05
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $123.03 / $194.98	Professional	26	$91.20	$123.03	$194.98
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $239.88 / $363.08	Professional		$173.78	$239.88	$363.08
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $114.82 / $162.18	Professional	26	$79.43	$114.82	$162.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $218.78 / $371.54	Professional		$194.98	$218.78	$371.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $123.03 / $165.96	Professional	26	$97.72	$123.03	$165.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $234.42 / $512.86	Professional		$218.78	$234.42	$512.86
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $112.20 / $144.54	Professional	26	$112.20	$112.20	$144.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $87.10 / $134.90 / $309.03	Facility	26	$87.10	$134.90	$309.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $208.93 / $416.87	Professional		$144.54	$208.93	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $107.15 / $204.17	Professional	26	$75.86	$107.15	$204.17
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $309.03 / $398.11	Professional		$97.72	$309.03	$398.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $89.13 / $128.82 / $128.82	Facility	26	$89.13	$128.82	$128.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $169.82 / $354.81	Professional		$97.72	$169.82	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $128.82	Professional	26	$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $204.17 / $371.54	Professional		$141.25	$204.17	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $102.33 / $194.98	Professional	26	$74.13	$102.33	$194.98

Pennsylvania rates for HCPCS 76811