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 $79.43 / $398.11 / $1,230.27	Facility		$79.43	$398.11	$1,230.27
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $57.54 / $109.65	Facility	26	$28.84	$57.54	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $93.33 / $354.81	Professional		$50.12	$93.33	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $44.67 / $114.82	Professional	26	$26.92	$44.67	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $36.31 / $186.21	Professional	TC	$20.89	$36.31	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $50.12 / $60.26	Professional		$42.66	$50.12	$60.26
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.88 / $50.12	Professional	26	$22.39	$33.88	$50.12
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $91.20	Professional		$72.44	$72.44	$91.20
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $47.86	Professional	26	$38.02	$38.02	$47.86
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $41.69 / $77.62	Professional	26	$36.31	$41.69	$77.62
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $37.15 / $229.09	Professional	TC	$33.11	$37.15	$229.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $309.03 / $309.03	Facility		$93.33	$309.03	$309.03
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 $51.29 / $107.15 / $239.88	Professional		$51.29	$107.15	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.90 / $61.66	Professional	26	$24.55	$38.90	$61.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $52.48 / $194.98	Professional	TC	$22.91	$52.48	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $134.90	Professional		$66.07	$89.13	$134.90
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $67.61	Professional	26	$31.62	$41.69	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $44.67 / $67.61	Professional	TC	$33.88	$44.67	$67.61
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $870.96	Facility		$91.20	$91.20	$870.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $97.72 / $177.83	Professional		$63.10	$97.72	$177.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $39.81 / $57.54	Professional	26	$27.54	$39.81	$57.54
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $52.48 / $138.04	Professional	TC	$31.62	$52.48	$138.04
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $354.81 / $794.33	Facility		$131.83	$354.81	$794.33
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	26	$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $70.79 / $97.72	Professional		$64.57	$70.79	$97.72
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $36.31 / $51.29	Professional	26	$32.36	$36.31	$51.29
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,122.02 / $1,412.54 / $2,951.21	Facility		$1,122.02	$1,412.54	$2,951.21
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $91.20	Professional		$72.44	$72.44	$91.20
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $48.98	Professional	26	$38.02	$38.02	$48.98
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $239.88	Facility		$50.12	$85.11	$239.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $44.67 / $87.10	Facility	26	$26.92	$44.67	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $79.43 / $218.78	Professional		$47.86	$79.43	$218.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $36.31 / $70.79	Professional	26	$25.70	$36.31	$70.79
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $38.90 / $169.82	Professional	TC	$21.88	$38.90	$169.82
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,220.18 / $11,748.98 / $16,218.10	Facility		$11,220.18	$11,748.98	$16,218.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $123.03 / $426.58	Professional		$112.20	$123.03	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $56.23 / $75.86	Facility		$7.08	$56.23	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $41.69	Facility	26	$30.20	$30.20	$41.69
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $41.69 / $75.86	Professional		$7.08	$41.69	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $30.20 / $41.69	Professional	26	$28.84	$30.20	$41.69
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $138.04	Professional	TC	$26.30	$26.30	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $81.28 / $229.09	Professional		$51.29	$81.28	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $35.48 / $77.62	Professional	26	$25.70	$35.48	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $33.88 / $186.21	Professional	TC	$22.39	$33.88	$186.21

Pennsylvania rates for HCPCS 76942