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 $25.70 / $51.29 / $100.00	Facility	26	$25.70	$51.29	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $251.19	Professional		$85.11	$120.23	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $38.02 / $79.43	Professional	26	$23.99	$38.02	$79.43
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $77.62 / $154.88	Professional	TC	$60.26	$77.62	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $158.49	Professional		$74.13	$97.72	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $44.67	Professional	26	$21.88	$30.90	$44.67
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $154.88	Professional		$134.90	$134.90	$154.88
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $128.82 / $138.04	Professional	26	$64.57	$128.82	$138.04
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $93.33 / $512.86	Professional	TC	$67.61	$93.33	$512.86
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $107.15 / $177.83	Professional		$102.33	$107.15	$177.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $52.48	Professional	26	$28.18	$29.51	$52.48
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $75.86 / $125.89	Professional	TC	$74.13	$75.86	$125.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $32.36 / $46.77	Facility	26	$6.92	$32.36	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $199.53	Professional		$83.18	$125.89	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $35.48 / $56.23	Professional	26	$22.91	$35.48	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $144.54	Professional	TC	$60.26	$91.20	$144.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $154.88 / $234.42	Professional		$117.49	$154.88	$234.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $39.81 / $61.66	Professional	26	$29.51	$39.81	$61.66
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $173.78	Professional	TC	$87.10	$114.82	$173.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $125.89 / $181.97	Professional		$89.13	$125.89	$181.97
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $33.88 / $50.12	Professional	26	$28.18	$33.88	$50.12
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $89.13 / $131.83	Professional	TC	$58.88	$89.13	$131.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $128.82 / $138.04	Professional		$123.03	$128.82	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $33.11 / $43.65	Professional	26	$30.90	$33.11	$43.65
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $138.04 / $144.54	Professional	TC	$138.04	$138.04	$144.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $162.18	Professional		$134.90	$134.90	$162.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $134.90 / $165.96	Professional	26	$37.15	$134.90	$165.96
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $134.90 / $512.86	Professional	TC	$75.86	$134.90	$512.86
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $42.66 / $83.18	Facility	26	$25.70	$42.66	$83.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $229.09	Professional		$85.11	$112.20	$229.09
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.20 / $60.26	Professional	26	$22.91	$30.20	$60.26
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $81.28 / $173.78	Professional	TC	$61.66	$81.28	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $218.78	Professional		$125.89	$169.82	$218.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $33.11 / $33.11	Facility	26	$28.18	$33.11	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $109.65	Professional		$57.54	$95.50	$109.65
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.84 / $33.11	Professional	26	$28.18	$28.84	$33.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $74.13 / $81.28	Professional	TC	$70.79	$74.13	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $204.17	Professional		$87.10	$114.82	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $33.11 / $64.57	Professional	26	$23.99	$33.11	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $83.18 / $147.91	Professional	TC	$63.10	$83.18	$147.91

Pennsylvania rates for HCPCS 76981