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 / $72.44 / $120.23	Facility	26	$32.36	$72.44	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $380.19	Professional		$72.44	$104.71	$380.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $138.04	Professional		$85.11	$85.11	$138.04
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $131.83	Professional		$114.82	$114.82	$131.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $112.20 / $169.82	Professional		$70.79	$112.20	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $125.89 / $190.55	Professional		$93.33	$125.89	$190.55
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $169.82	Professional		$77.62	$112.20	$169.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $117.49 / $165.96	Professional		$97.72	$117.49	$165.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $151.36	Professional		$114.82	$114.82	$151.36
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $60.26 / $114.82	Facility	26	$32.36	$60.26	$114.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $208.93	Professional		$72.44	$102.33	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $154.88 / $204.17	Professional		$57.54	$154.88	$204.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $37.15	Facility	26	$33.11	$33.11	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $181.97	Professional		$42.66	$85.11	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $177.83	Professional		$74.13	$97.72	$177.83

Pennsylvania rates for HCPCS 76821