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 $27.54 / $58.88 / $112.20	Facility	26	$27.54	$58.88	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $134.90 / $407.38	Professional		$72.44	$134.90	$407.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $53.70 / $120.23	Professional	26	$28.84	$53.70	$120.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $66.07 / $138.04	Professional	TC	$40.74	$66.07	$138.04
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $74.13 / $125.89	Professional		$47.86	$74.13	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.90 / $58.88	Professional	26	$24.55	$38.90	$58.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $107.15 / $125.89	Professional		$52.48	$107.15	$125.89
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $20.89 / $42.66	Professional	26	$19.50	$20.89	$42.66
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $75.86	Professional	TC	$67.61	$67.61	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $102.33 / $194.98	Professional		$79.43	$102.33	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $77.62	Professional	26	$30.90	$41.69	$77.62
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $63.10 / $117.49	Professional	TC	$47.86	$63.10	$117.49
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $102.33 / $162.18	Professional		$64.57	$102.33	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $38.02 / $60.26	Professional	26	$25.12	$38.02	$60.26
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $102.33	Professional	TC	$40.74	$64.57	$102.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $169.82	Professional		$83.18	$114.82	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $41.69 / $66.07	Professional	26	$30.90	$41.69	$66.07
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $72.44 / $107.15	Professional	TC	$52.48	$72.44	$107.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $102.33 / $162.18	Professional		$69.18	$102.33	$162.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.90 / $54.95	Professional	26	$26.92	$38.90	$54.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $63.10 / $97.72	Professional	TC	$41.69	$63.10	$97.72
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $97.72 / $141.25	Professional		$89.13	$97.72	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $36.31 / $52.48	Professional	26	$33.11	$36.31	$52.48
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $74.13 / $77.62	Professional	TC	$54.95	$74.13	$77.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $107.15 / $144.54	Professional		$60.26	$107.15	$144.54
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $38.90 / $48.98	Professional	26	$19.50	$38.90	$48.98
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $75.86	Professional	TC	$67.61	$67.61	$75.86
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $45.71 / $89.13	Facility	26	$27.54	$45.71	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $190.55	Professional		$67.61	$102.33	$190.55
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $37.15 / $69.18	Professional	26	$25.70	$37.15	$69.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $63.10 / $120.23	Professional	TC	$41.69	$63.10	$120.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $144.54 / $194.98	Professional		$51.29	$144.54	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $35.48	Facility	26	$30.90	$30.90	$35.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $67.61 / $91.20	Professional		$9.12	$67.61	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $35.48	Professional	26	$30.20	$30.90	$35.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $47.86 / $81.28	Professional	TC	$46.77	$47.86	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $169.82	Professional		$69.18	$91.20	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $35.48 / $81.28	Professional	26	$25.70	$35.48	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $56.23 / $104.71	Professional	TC	$41.69	$56.23	$104.71

Pennsylvania rates for HCPCS 76815