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 $27.54 / $53.70 / $104.71	Facility	26	$27.54	$53.70	$104.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $138.04 / $489.78	Professional		$77.62	$138.04	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $50.12 / $112.20	Professional	26	$27.54	$50.12	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $85.11 / $181.97	Professional	TC	$53.70	$85.11	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $77.62 / $144.54	Professional		$34.67	$77.62	$144.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $43.65 / $47.86	Professional	26	$23.44	$43.65	$47.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	TC	$102.33	$102.33	$102.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $169.82	Professional		$131.83	$131.83	$169.82
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $48.98	Professional	26	$38.02	$38.02	$48.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $204.17	Professional		$97.72	$100.00	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $74.13	Professional	26	$30.20	$38.90	$74.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $69.18 / $117.49	Professional	TC	$61.66	$69.18	$117.49
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $34.67 / $48.98	Facility	26	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $117.49 / $194.98	Professional		$72.44	$117.49	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.02 / $60.26	Professional	26	$24.55	$38.02	$60.26
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $79.43 / $134.90	Professional	TC	$45.71	$79.43	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $208.93	Professional		$102.33	$138.04	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $63.10	Professional	26	$30.20	$40.74	$63.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $97.72 / $144.54	Professional	TC	$70.79	$97.72	$144.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $194.98	Professional		$81.28	$117.49	$194.98
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $53.70	Professional	26	$26.30	$38.02	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $83.18 / $131.83	Professional	TC	$50.12	$83.18	$131.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $120.23 / $131.83	Professional		$112.20	$120.23	$131.83
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $35.48 / $51.29	Professional	26	$32.36	$35.48	$51.29
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $128.82	Professional	TC	$87.10	$123.03	$128.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $131.83 / $169.82	Professional		$102.33	$131.83	$169.82
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $48.98	Professional	26	$36.31	$38.02	$48.98
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $39.81 / $72.44	Facility	26	$27.54	$39.81	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $218.78	Professional		$79.43	$120.23	$218.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $35.48 / $66.07	Professional	26	$25.12	$35.48	$66.07
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $83.18 / $151.36	Professional	TC	$52.48	$83.18	$151.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $120.23 / $213.80	Professional		$52.48	$120.23	$213.80
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $37.15 / $37.15	Facility	26	$30.20	$37.15	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $87.10 / $346.74	Professional		$42.66	$87.10	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $37.15	Professional	26	$30.20	$30.90	$37.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $69.18 / $75.86	Professional	TC	$66.07	$69.18	$75.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $199.53	Professional		$79.43	$107.15	$199.53
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $34.67 / $69.18	Professional	26	$25.70	$34.67	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $141.25	Professional	TC	$56.23	$79.43	$141.25

Pennsylvania rates for HCPCS 76870