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 $72.44 / $147.91 / $331.13	Facility	26	$72.44	$147.91	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $338.84 / $1,412.54	Professional		$190.55	$338.84	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $109.65 / $204.17	Professional	26	$64.57	$109.65	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $169.82 / $363.08	Professional	TC	$123.03	$169.82	$363.08
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $223.87 / $457.09	Professional		$213.80	$223.87	$457.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $77.62 / $151.36	Professional	26	$75.86	$77.62	$151.36
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $144.54 / $316.23	Professional	TC	$141.25	$144.54	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $309.03 / $478.63	Professional		$186.21	$309.03	$478.63
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $95.50 / $158.49	Professional	26	$54.95	$95.50	$158.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $204.17 / $323.59	Professional	TC	$123.03	$204.17	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $302.00 / $363.08	Professional		$223.87	$302.00	$363.08
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $120.23	Professional	26	$74.13	$100.00	$120.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $194.98 / $245.47	Professional	TC	$147.91	$194.98	$245.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $263.03 / $446.68	Professional		$204.17	$263.03	$446.68
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $87.10 / $158.49	Professional	26	$70.79	$87.10	$158.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $173.78 / $288.40	Professional	TC	$131.83	$173.78	$288.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $85.11 / $123.03	Professional	26	$81.28	$85.11	$123.03
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $107.15 / $416.87	Facility	26	$70.79	$107.15	$416.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $371.54 / $741.31	Professional		$194.98	$371.54	$741.31
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $100.00 / $181.97	Professional	26	$64.57	$100.00	$181.97
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $194.98 / $436.52	Professional	TC	$125.89	$194.98	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $295.12 / $398.11	Professional		$123.03	$295.12	$398.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $75.86 / $89.13 / $89.13	Facility	26	$75.86	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $125.89 / $309.03	Professional		$61.66	$125.89	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $75.86 / $89.13	Professional	26	$72.44	$75.86	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $144.54 / $181.97	Professional	TC	$141.25	$144.54	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $346.74 / $1,202.26	Professional		$208.93	$346.74	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $89.13 / $169.82	Professional	26	$63.10	$89.13	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $223.87 / $1,000.00	Professional	TC	$138.04	$223.87	$1,000.00

Pennsylvania rates for HCPCS 77047