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 $42.66 / $85.11 / $158.49	Facility	26	$42.66	$85.11	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $204.17 / $724.44	Professional		$134.90	$204.17	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $64.57 / $131.83	Professional	26	$42.66	$64.57	$131.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Professional	52	$30.20	$30.20	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $125.89 / $281.84	Professional	TC	$93.33	$125.89	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $213.80	Professional		$123.03	$144.54	$213.80
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $67.61 / $75.86	Professional	26	$38.90	$67.61	$75.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	TC	$165.96	$165.96	$165.96
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $177.83 / $194.98	Professional		$169.82	$177.83	$194.98
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $61.66	Professional	26	$48.98	$48.98	$61.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $194.98 / $309.03	Professional		$154.88	$194.98	$309.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $58.88 / $93.33	Professional	26	$46.77	$58.88	$93.33
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $138.04 / $223.87	Professional	TC	$107.15	$138.04	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $316.23	Professional		$125.89	$199.53	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $58.88 / $95.50	Professional	26	$35.48	$58.88	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $141.25 / $229.09	Professional	TC	$89.13	$141.25	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $218.78 / $269.15	Professional		$162.18	$218.78	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $75.86	Professional	26	$46.77	$63.10	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $151.36 / $190.55	Professional	TC	$114.82	$151.36	$190.55
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $323.59	Professional		$128.82	$173.78	$323.59
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $53.70 / $100.00	Professional	26	$38.90	$53.70	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $120.23 / $223.87	Professional	TC	$91.20	$120.23	$223.87
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $338.84	Facility	26	$53.70	$53.70	$338.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $181.97 / $204.17	Professional		$169.82	$181.97	$204.17
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $51.29 / $69.18	Professional	26	$47.86	$51.29	$69.18
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $154.88 / $190.55	Professional	TC	$154.88	$154.88	$190.55
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $223.87	Professional		$169.82	$169.82	$223.87
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $63.10	Professional	26	$48.98	$48.98	$63.10
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $61.66 / $109.65	Facility	26	$42.66	$61.66	$109.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $363.08	Professional		$131.83	$186.21	$363.08
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $102.33	Professional	26	$39.81	$53.70	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $131.83 / $251.19	Professional	TC	$95.50	$131.83	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $131.83 / $288.40	Professional		$50.12	$131.83	$288.40
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $53.70	Facility	26	$46.77	$46.77	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $181.97	Professional		$120.23	$165.96	$181.97
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $51.29	Professional	26	$45.71	$46.77	$51.29
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $104.71 / $117.49	Professional	TC	$102.33	$104.71	$117.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $316.23	Professional		$131.83	$190.55	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $57.54 / $100.00	Professional	26	$39.81	$57.54	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $223.87	Professional	TC	$95.50	$134.90	$223.87

Pennsylvania rates for HCPCS 77066