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 $16.22 / $35.48 / $66.07	Facility	26	$16.22	$35.48	$66.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $109.65 / $218.78	Professional		$74.13	$109.65	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $27.54 / $64.57	Professional	26	$15.85	$27.54	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $89.13 / $144.54	Professional	TC	$63.10	$89.13	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $28.18	Professional	26	$12.02	$20.89	$28.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $23.99	Professional	26	$19.05	$19.05	$23.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $97.72 / $162.18	Professional		$93.33	$97.72	$162.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $33.88	Professional	26	$18.20	$18.62	$33.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $77.62 / $138.04	Professional	TC	$75.86	$77.62	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $112.20 / $190.55	Professional		$67.61	$112.20	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $21.88 / $37.15	Professional	26	$13.49	$21.88	$37.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $89.13 / $154.88	Professional	TC	$52.48	$89.13	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $169.82	Professional		$102.33	$134.90	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $23.99 / $29.51	Professional	26	$17.78	$23.99	$29.51
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $112.20 / $138.04	Professional	TC	$83.18	$112.20	$138.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $109.65 / $194.98	Professional		$61.66	$109.65	$194.98
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $21.88 / $38.02	Professional	26	$15.49	$21.88	$38.02
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $89.13 / $158.49	Professional	TC	$46.77	$89.13	$158.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $107.15 / $107.15	Professional		$100.00	$107.15	$107.15
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $21.38 / $30.90	Professional	26	$18.62	$21.38	$30.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $23.99	Professional	26	$19.05	$19.05	$23.99
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $15.49 / $28.18 / $63.10	Facility	26	$15.49	$28.18	$63.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $213.80	Professional		$81.28	$117.49	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $38.90	Professional	26	$15.14	$21.38	$38.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $173.78	Professional	TC	$64.57	$97.72	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $93.33 / $251.19	Professional		$38.90	$93.33	$251.19
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.38 / $19.50 / $19.50	Facility	26	$17.38	$19.50	$19.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $79.43 / $309.03	Professional		$51.29	$79.43	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $17.78 / $19.50	Professional	26	$16.98	$17.78	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $79.43 / $87.10	Professional	TC	$77.62	$79.43	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $181.97	Professional		$72.44	$97.72	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $20.89 / $41.69	Professional	26	$14.45	$20.89	$41.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $81.28 / $147.91	Professional	TC	$60.26	$81.28	$147.91

Pennsylvania rates for HCPCS 77001