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 $22.91 / $45.71 / $81.28	Facility	26	$22.91	$45.71	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $72.44 / $257.04	Professional		$38.90	$72.44	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $38.90 / $112.20	Professional	26	$19.95	$38.90	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $50.12	Professional	TC	$16.98	$23.99	$50.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $43.65 / $69.18	Professional		$40.74	$43.65	$69.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $22.39 / $44.67	Professional	26	$18.62	$22.39	$44.67
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	TC	$31.62	$31.62	$31.62
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $69.18	Professional		$57.54	$57.54	$69.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $33.88	Professional	26	$29.51	$29.51	$33.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $117.49	Professional		$43.65	$58.88	$117.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $31.62 / $60.26	Professional	26	$23.44	$31.62	$60.26
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $26.30 / $63.10	Professional	TC	$19.50	$26.30	$63.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.75 / $26.92 / $38.02	Facility	26	$5.75	$26.92	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $63.10 / $114.82	Professional		$38.02	$63.10	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $30.20 / $46.77	Professional	26	$19.05	$30.20	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $31.62 / $70.79	Professional	TC	$18.20	$31.62	$70.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $63.10 / $95.50	Professional		$46.77	$63.10	$95.50
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $51.29	Professional	26	$24.55	$32.36	$51.29
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $43.65	Professional	TC	$21.88	$30.20	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $104.71	Professional		$42.66	$64.57	$104.71
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $30.90 / $43.65	Professional	26	$21.38	$30.90	$43.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $32.36 / $64.57	Professional	TC	$20.42	$32.36	$64.57
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility	26	$141.25	$141.25	$141.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $58.88 / $95.50	Professional		$48.98	$58.88	$95.50
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $28.84 / $48.98	Professional	26	$25.70	$28.84	$48.98
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $30.90 / $33.11	Professional	TC	$30.90	$30.90	$33.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $74.13	Professional		$57.54	$57.54	$74.13
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $38.02	Professional	26	$29.51	$29.51	$38.02
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $35.48 / $81.28	Facility	26	$20.89	$35.48	$81.28
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $53.70 / $107.15	Professional		$37.15	$53.70	$107.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $27.54 / $53.70	Professional	26	$19.95	$27.54	$53.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $25.70 / $53.70	Professional	TC	$16.98	$25.70	$53.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $81.28 / $117.49	Professional		$25.12	$81.28	$117.49
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $26.92 / $26.92	Facility	26	$23.44	$26.92	$26.92
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $42.66 / $77.62	Professional		$13.18	$42.66	$77.62
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $26.92	Professional	26	$23.44	$23.44	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $20.42 / $61.66	Professional	TC	$19.95	$20.42	$61.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $104.71	Professional		$38.90	$54.95	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $27.54 / $67.61	Professional	26	$19.50	$27.54	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.12 / $66.07	Professional	TC	$17.38	$25.12	$66.07

Pennsylvania rates for HCPCS 76820