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 / $45.71 / $97.72	Facility	26	$25.70	$45.71	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $70.79 / $208.93	Professional		$45.71	$70.79	$208.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $42.66 / $89.13	Professional	26	$25.70	$42.66	$89.13
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.80 / $48.98 / $223.87	Professional	52	$13.80	$48.98	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.84 / $97.72	Professional	TC	$19.05	$28.84	$97.72
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $79.43	Professional		$34.67	$48.98	$79.43
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $40.74 / $53.70	Professional	26	$22.91	$40.74	$53.70
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	52	$17.78	$17.78	$17.78
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $25.70 / $35.48	Professional	TC	$17.78	$25.70	$35.48
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $60.26 / $114.82	Professional		$34.67	$60.26	$114.82
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $39.81	Professional	26	$30.20	$30.20	$39.81
AmeriHealth Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $83.18 / $83.18 / $85.11	Professional	52	$83.18	$83.18	$85.11
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $33.88	Professional	TC	$26.30	$26.30	$33.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $64.57 / $100.00	Professional		$51.29	$64.57	$100.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $56.23	Professional	26	$28.18	$36.31	$56.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $29.51 / $45.71	Professional	TC	$22.91	$29.51	$45.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $66.07 / $104.71	Professional		$38.90	$66.07	$104.71
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $36.31 / $57.54	Professional	26	$21.88	$36.31	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $46.77	Professional	TC	$19.05	$30.20	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $85.11	Professional		$52.48	$70.79	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $44.67	Professional	26	$28.18	$38.02	$44.67
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $32.36 / $39.81	Professional	TC	$24.55	$32.36	$39.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $107.15	Professional		$43.65	$58.88	$107.15
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $60.26	Professional	26	$24.55	$32.36	$60.26
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.70 / $46.77	Professional	TC	$19.05	$25.70	$46.77
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $61.66 / $89.13	Professional		$56.23	$61.66	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $30.90 / $46.77	Professional	26	$28.84	$30.90	$46.77
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $15.14 / $16.60 / $35.48	Professional	52	$15.14	$16.60	$35.48
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $31.62 / $40.74	Professional	TC	$25.70	$31.62	$40.74
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $58.88 / $83.18	Professional		$56.23	$58.88	$83.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $43.65	Professional	26	$30.20	$30.20	$43.65
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.30 / $33.88	Professional	TC	$26.30	$26.30	$33.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $37.15 / $66.07	Facility	26	$25.70	$37.15	$66.07
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $61.66 / $114.82	Professional		$43.65	$61.66	$114.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $33.88 / $61.66	Professional	26	$23.99	$33.88	$61.66
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.18 / $52.48	Professional	TC	$19.95	$28.18	$52.48
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $57.54 / $97.72	Professional		$23.99	$57.54	$97.72
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $33.11 / $33.11	Facility	26	$28.84	$33.11	$33.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $42.66 / $83.18	Professional		$15.14	$42.66	$83.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $28.84 / $33.11	Professional	26	$27.54	$28.84	$33.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $23.44 / $26.30	Professional	TC	$22.39	$23.44	$26.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $63.10 / $107.15	Professional		$44.67	$63.10	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $35.48 / $81.28	Professional	26	$23.99	$35.48	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $28.84 / $50.12	Professional	TC	$19.95	$28.84	$50.12

Pennsylvania rates for HCPCS 77063