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 Typical Low / Median / Typical High $54.95 / $97.72 / $588.84	Facility		$54.95	$97.72	$588.84
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $26.30 / $52.48	Facility	26	$12.02	$26.30	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.90 / $79.43	Professional		$28.84	$38.90	$79.43
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $19.50 / $56.23	Professional	26	$12.02	$19.50	$56.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $25.12 / $44.67	Professional	TC	$16.98	$25.12	$44.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $30.20 / $31.62	Professional		$28.84	$30.20	$31.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.80 / $26.92	Professional	26	$10.47	$13.80	$26.92
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $2,570.40 / $2,570.40	Facility		$2,570.40	$2,570.40	$2,570.40
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $16.60 / $18.62	Professional	26	$16.60	$16.60	$18.62
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $8,511.38 / $77,624.71	Facility		$134.90	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $38.90 / $63.10	Professional		$37.15	$38.90	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $14.13 / $35.48	Professional	26	$13.49	$14.13	$35.48
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $24.55 / $39.81	Professional	TC	$23.99	$24.55	$39.81
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.31 / $15.49 / $21.88	Facility	26	$3.31	$15.49	$21.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $72.44	Professional		$27.54	$41.69	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $17.78 / $28.18	Professional	26	$10.72	$17.78	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $24.55 / $43.65	Professional	TC	$16.60	$24.55	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $85.11	Professional		$41.69	$56.23	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $18.62 / $28.84	Professional	26	$13.80	$18.62	$28.84
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $37.15 / $56.23	Professional	TC	$27.54	$37.15	$56.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $66.07	Professional		$28.18	$43.65	$66.07
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.38 / $25.70	Professional	26	$13.49	$17.38	$25.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $27.54 / $42.66	Professional	TC	$13.49	$27.54	$42.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $120.23 / $549.54	Facility		$107.15	$120.23	$549.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $38.90 / $42.66	Professional		$14.45	$38.90	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.22 / $22.39	Professional	26	$14.79	$16.22	$22.39
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $1,778.28 / $2,570.40	Facility		$1,071.52	$1,778.28	$2,570.40
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $16.60 / $19.50	Professional	26	$16.60	$16.60	$19.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $69.18 / $141.25	Facility		$33.88	$69.18	$141.25
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $50.12	Facility	26	$12.02	$20.89	$50.12
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $44.67 / $85.11	Professional		$30.90	$44.67	$85.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $16.60 / $33.11	Professional	26	$11.48	$16.60	$33.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.18 / $53.70	Professional	TC	$18.20	$28.18	$53.70
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $5,128.61 / $10,232.93	Facility		$5,011.87	$5,128.61	$10,232.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $58.88 / $83.18	Professional		$26.92	$58.88	$83.18
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $37.15 / $40.74	Facility		$12.88	$37.15	$40.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.80 / $16.60 / $16.60	Facility	26	$13.80	$16.60	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $29.51 / $40.74	Professional		$13.80	$29.51	$40.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.13 / $16.60	Professional	26	$13.80	$14.13	$16.60
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $23.99 / $26.30	Professional	TC	$20.89	$23.99	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $69.18	Professional		$28.18	$38.02	$69.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.85 / $32.36	Professional	26	$11.75	$15.85	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $22.91 / $42.66	Professional	TC	$16.60	$22.91	$42.66

Pennsylvania rates for HCPCS 76937