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 $29.51 / $58.88 / $112.20	Facility	26	$29.51	$58.88	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $190.55 / $446.68	Professional		$104.71	$190.55	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $54.95 / $117.49	Professional	26	$30.90	$54.95	$117.49
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $56.23 / $169.82 / $354.81	Professional	52	$56.23	$169.82	$354.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $107.15 / $245.47	Professional	TC	$70.79	$107.15	$245.47
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $102.33 / $194.98	Professional		$87.10	$102.33	$194.98
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $39.81 / $52.48	Professional	26	$25.12	$39.81	$52.48
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $128.82 / $144.54	Professional	TC	$125.89	$128.82	$144.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $177.83	Professional		$158.49	$158.49	$177.83
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $38.90 / $43.65	Professional	26	$20.42	$38.90	$43.65
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $158.49 / $173.78	Professional	52	$158.49	$158.49	$173.78
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $128.82	Professional	TC	$114.82	$114.82	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $208.93 / $213.80	Professional		$120.23	$208.93	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $43.65 / $81.28	Professional	26	$33.11	$43.65	$81.28
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $107.15 / $151.36	Professional	TC	$81.28	$107.15	$151.36
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $53.70	Facility	26	$7.94	$37.15	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $223.87	Professional		$93.33	$131.83	$223.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $40.74 / $64.57	Professional	26	$26.30	$40.74	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $95.50 / $162.18	Professional	TC	$61.66	$95.50	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $239.88	Professional		$120.23	$165.96	$239.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $43.65 / $69.18	Professional	26	$33.11	$43.65	$69.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $120.23 / $177.83	Professional	TC	$89.13	$120.23	$177.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $194.98	Professional		$83.18	$125.89	$194.98
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $58.88	Professional	26	$28.18	$41.69	$58.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $89.13 / $134.90	Professional	TC	$50.12	$89.13	$134.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $141.25 / $181.97	Professional		$125.89	$141.25	$181.97
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $39.81 / $56.23	Professional	26	$35.48	$39.81	$56.23
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $19.95 / $22.39 / $67.61	Professional	52	$19.95	$22.39	$67.61
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $128.82 / $151.36	Professional	TC	$95.50	$128.82	$151.36
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $234.42	Professional		$158.49	$158.49	$234.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $40.74 / $48.98	Professional	26	$20.42	$40.74	$48.98
Independence Blue Cross Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $158.49 / $158.49 / $173.78	Professional	52	$158.49	$158.49	$173.78
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $147.91	Professional	TC	$114.82	$114.82	$147.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $42.66 / $77.62	Facility	26	$29.51	$42.66	$77.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $138.04 / $263.03	Professional		$100.00	$138.04	$263.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $72.44	Professional	26	$28.18	$38.90	$72.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $100.00 / $190.55	Professional	TC	$70.79	$100.00	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $141.25 / $239.88	Professional		$36.31	$141.25	$239.88
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $42.66 / $42.66	Facility	26	$33.11	$42.66	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $64.57 / $181.97	Professional		$39.81	$64.57	$181.97
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $42.66	Professional	26	$33.11	$33.11	$42.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $83.18 / $91.20	Professional	TC	$81.28	$83.18	$91.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $245.47	Professional		$83.18	$125.89	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.02 / $85.11	Professional	26	$27.54	$38.02	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $93.33 / $181.97	Professional	TC	$64.57	$93.33	$181.97

Pennsylvania rates for HCPCS 76830