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 $34.67 / $69.18 / $128.82	Facility	26	$34.67	$69.18	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $134.90 / $524.81	Professional		$48.98	$134.90	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $54.95 / $107.15	Professional	26	$33.11	$54.95	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $97.72 / $234.42	Professional	TC	$72.44	$97.72	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $169.82	Professional		$97.72	$114.82	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $56.23 / $74.13	Professional	26	$33.88	$56.23	$74.13
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $128.82 / $128.82	Professional	TC	$75.86	$128.82	$128.82
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 $39.81 / $39.81 / $51.29	Professional	26	$39.81	$39.81	$51.29
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $123.03	Professional	TC	$95.50	$95.50	$123.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $154.88 / $239.88	Professional		$123.03	$154.88	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $47.86 / $74.13	Professional	26	$38.02	$47.86	$74.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $109.65 / $173.78	Professional	TC	$83.18	$109.65	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $158.49 / $251.19	Professional		$100.00	$158.49	$251.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $47.86 / $77.62	Professional	26	$28.84	$47.86	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $112.20 / $177.83	Professional	TC	$69.18	$112.20	$177.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $208.93	Professional		$128.82	$173.78	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $61.66	Professional	26	$38.02	$51.29	$61.66
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $117.49 / $147.91	Professional	TC	$89.13	$117.49	$147.91
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $257.04	Professional		$102.33	$138.04	$257.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $81.28	Professional	26	$31.62	$43.65	$81.28
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $95.50 / $173.78	Professional	TC	$70.79	$95.50	$173.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $144.54 / $173.78	Professional		$128.82	$144.54	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $41.69 / $58.88	Professional	26	$39.81	$41.69	$58.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $107.15 / $151.36	Professional	TC	$107.15	$107.15	$151.36
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $154.88 / $194.98	Professional		$134.90	$154.88	$194.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $42.66 / $275.42	Professional	26	$39.81	$42.66	$275.42
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $120.23 / $190.55	Professional	TC	$95.50	$120.23	$190.55
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $50.12 / $87.10	Facility	26	$34.67	$50.12	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $144.54 / $281.84	Professional		$107.15	$144.54	$281.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $43.65 / $83.18	Professional	26	$32.36	$43.65	$83.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $102.33 / $199.53	Professional	TC	$74.13	$102.33	$199.53
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $112.20 / $223.87	Professional		$40.74	$112.20	$223.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $43.65	Facility	26	$38.02	$38.02	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $74.13 / $181.97	Professional		$45.71	$74.13	$181.97
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $43.65	Professional	26	$37.15	$38.02	$43.65
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $83.18 / $100.00	Professional	TC	$81.28	$83.18	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $251.19	Professional		$104.71	$151.36	$251.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $46.77 / $91.20	Professional	26	$32.36	$46.77	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $107.15 / $173.78	Professional	TC	$75.86	$107.15	$173.78

Pennsylvania rates for HCPCS 77065