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 $87.10 / $158.49 / $524.81	Professional		$87.10	$158.49	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $44.67 / $123.03	Professional	26	$28.84	$44.67	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $93.33 / $213.80	Professional	TC	$60.26	$93.33	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $81.28 / $97.72	Professional		$36.31	$81.28	$97.72
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $31.62 / $51.29	Professional	26	$25.12	$31.62	$51.29
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	TC	$107.15	$107.15	$107.15
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $141.25	Professional		$69.18	$69.18	$141.25
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $20.89 / $40.74	Professional	26	$19.50	$20.89	$40.74
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $48.98 / $89.13	Professional	TC	$48.98	$48.98	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $208.93	Professional		$120.23	$194.98	$208.93
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $43.65 / $81.28	Professional	26	$32.36	$43.65	$81.28
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $104.71 / $134.90	Professional	TC	$69.18	$104.71	$134.90
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $208.93	Professional		$85.11	$128.82	$208.93
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 $57.54 / $85.11 / $144.54	Professional	TC	$57.54	$85.11	$144.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $223.87	Professional		$109.65	$147.91	$223.87
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 $75.86 / $102.33 / $151.36	Professional	TC	$75.86	$102.33	$151.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $120.23 / $204.17	Professional		$83.18	$120.23	$204.17
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 / $85.11 / $134.90	Professional	TC	$50.12	$85.11	$134.90
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Facility	26	$144.54	$144.54	$144.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $125.89 / $162.18	Professional		$114.82	$125.89	$162.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $38.90 / $63.10	Professional	26	$35.48	$38.90	$63.10
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $128.82	Professional	TC	$91.20	$109.65	$128.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $147.91	Professional		$69.18	$91.20	$147.91
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $33.88 / $44.67	Professional	26	$20.42	$33.88	$44.67
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $97.72 / $97.72	Professional	TC	$48.98	$97.72	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $42.66 / $75.86	Facility	26	$29.51	$42.66	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $128.82 / $239.88	Professional		$89.13	$128.82	$239.88
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 $60.26 / $91.20 / $169.82	Professional	TC	$60.26	$91.20	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $158.49 / $295.12	Professional		$36.31	$158.49	$295.12
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $60.26 / $60.26	Facility	26	$32.36	$60.26	$60.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $60.26 / $229.09	Professional		$53.70	$60.26	$229.09
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $60.26	Professional	26	$32.36	$32.36	$60.26
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $69.18 / $75.86	Professional	TC	$67.61	$69.18	$75.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $223.87	Professional		$83.18	$114.82	$223.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.02 / $79.43	Professional	26	$27.54	$38.02	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $83.18 / $151.36	Professional	TC	$57.54	$83.18	$151.36

Pennsylvania rates for HCPCS 76856