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 $20.89 / $41.69 / $75.86	Facility	26	$20.89	$41.69	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $83.18 / $302.00	Professional		$40.74	$83.18	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $34.67 / $70.79	Professional	26	$19.95	$34.67	$70.79
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $33.88 / $100.00	Professional	TC	$19.05	$33.88	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $39.81 / $95.50	Professional		$22.39	$39.81	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $33.88 / $38.02	Professional	26	$18.62	$33.88	$38.02
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $10.00 / $17.78	Professional	TC	$10.00	$10.00	$17.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.50 / $64.57	Professional		$14.79	$19.50	$64.57
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $18.20 / $28.84	Professional	26	$13.80	$18.20	$28.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $60.26 / $114.82	Professional		$48.98	$60.26	$114.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $29.51 / $45.71	Professional	26	$23.44	$29.51	$45.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $30.20 / $74.13	Professional	TC	$25.70	$30.20	$74.13
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 $41.69 / $77.62 / $144.54	Professional		$41.69	$77.62	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $24.55 / $44.67	Professional	26	$17.38	$24.55	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $45.71 / $104.71	Professional	TC	$20.89	$45.71	$104.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $107.15	Professional		$52.48	$70.79	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $32.36 / $51.29	Professional	26	$23.99	$32.36	$51.29
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $57.54	Professional	TC	$28.84	$38.90	$57.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $109.65	Professional		$51.29	$72.44	$109.65
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $40.74	Professional	26	$17.78	$25.70	$40.74
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $43.65 / $77.62	Professional	TC	$26.30	$43.65	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $61.66 / $97.72	Professional		$54.95	$61.66	$97.72
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $27.54 / $40.74	Professional	26	$24.55	$27.54	$40.74
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $45.71 / $56.23	Professional	TC	$36.31	$45.71	$56.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $60.26 / $77.62	Professional		$30.20	$60.26	$77.62
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $27.54 / $33.11	Professional	26	$14.45	$27.54	$33.11
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $44.67	Facility	26	$20.89	$30.20	$44.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $66.07 / $128.82	Professional		$39.81	$66.07	$128.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $26.92 / $50.12	Professional	26	$18.20	$26.92	$50.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $34.67 / $79.43	Professional	TC	$19.95	$34.67	$79.43
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $77.62 / $109.65	Professional		$25.12	$77.62	$109.65
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $40.74	Facility	26	$23.44	$23.44	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $46.77 / $112.20	Professional		$25.12	$46.77	$112.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.44 / $40.74	Professional	26	$22.91	$23.44	$40.74
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $23.99 / $52.48	Professional	TC	$23.44	$23.99	$52.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $64.57 / $128.82	Professional		$42.66	$64.57	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $81.28	Professional	26	$17.78	$25.70	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $107.15	Professional	TC	$20.89	$31.62	$107.15

Pennsylvania rates for HCPCS 76857