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 $32.36 / $64.57 / $123.03	Facility	26	$32.36	$64.57	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $154.88 / $436.52	Professional		$85.11	$154.88	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $60.26 / $128.82	Professional	26	$33.11	$60.26	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $74.13 / $204.17	Professional	TC	$46.77	$74.13	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $141.25	Professional		$61.66	$89.13	$141.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $66.07	Professional	26	$28.18	$38.02	$66.07
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $83.18 / $85.11	Professional	TC	$83.18	$83.18	$85.11
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $128.82	Professional		$60.26	$60.26	$128.82
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $23.99 / $47.86	Professional	26	$22.39	$23.99	$47.86
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $87.10	Professional	TC	$75.86	$75.86	$87.10
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $123.03 / $213.80	Professional		$93.33	$123.03	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $47.86 / $89.13	Professional	26	$37.15	$47.86	$89.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $83.18 / $125.89	Professional	TC	$56.23	$83.18	$125.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $40.74 / $57.54	Facility	26	$8.71	$40.74	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $181.97	Professional		$74.13	$114.82	$181.97
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $44.67 / $70.79	Professional	26	$28.84	$44.67	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $70.79 / $112.20	Professional	TC	$45.71	$70.79	$112.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $194.98	Professional		$95.50	$128.82	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $47.86 / $75.86	Professional	26	$35.48	$47.86	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $81.28 / $120.23	Professional	TC	$60.26	$81.28	$120.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $177.83	Professional		$77.62	$114.82	$177.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $45.71 / $64.57	Professional	26	$30.90	$45.71	$64.57
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $69.18 / $109.65	Professional	TC	$43.65	$69.18	$109.65
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility	26	$380.19	$380.19	$380.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $109.65 / $144.54	Professional		$95.50	$109.65	$144.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $42.66 / $63.10	Professional	26	$37.15	$42.66	$63.10
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $79.43 / $87.10	Professional	TC	$63.10	$79.43	$87.10
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $138.04	Professional		$60.26	$60.26	$138.04
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $25.70 / $48.98	Professional	26	$22.39	$25.70	$48.98
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $75.86 / $89.13	Professional	TC	$75.86	$75.86	$89.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $104.71	Facility	26	$32.36	$46.77	$104.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $213.80	Professional		$77.62	$112.20	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $42.66 / $77.62	Professional	26	$30.20	$42.66	$77.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $69.18 / $131.83	Professional	TC	$46.77	$69.18	$131.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $162.18 / $218.78	Professional		$57.54	$162.18	$218.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $57.54	Facility	26	$35.48	$35.48	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $91.20 / $120.23	Professional		$26.30	$91.20	$120.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $57.54	Professional	26	$35.48	$35.48	$57.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $54.95 / $63.10	Professional	TC	$53.70	$54.95	$63.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $102.33 / $194.98	Professional		$75.86	$102.33	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $91.20	Professional	26	$29.51	$41.69	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $64.57 / $120.23	Professional	TC	$46.77	$64.57	$120.23

Pennsylvania rates for HCPCS 76817