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 $24.55 / $54.95 / $81.28	Facility	26	$24.55	$54.95	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $120.23	Professional		$50.12	$67.61	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $77.62	Professional	26	$16.98	$23.99	$77.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $44.67 / $77.62	Professional	TC	$33.88	$44.67	$77.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $66.07 / $114.82	Professional		$63.10	$66.07	$114.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.38 / $42.66	Professional	26	$20.89	$21.38	$42.66
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $44.67 / $74.13	Professional	TC	$42.66	$44.67	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $77.62 / $125.89	Professional		$51.29	$77.62	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $26.30 / $43.65	Professional	26	$15.85	$26.30	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $52.48 / $87.10	Professional	TC	$33.88	$52.48	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $89.13 / $109.65	Professional		$67.61	$89.13	$109.65
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $28.18 / $33.88	Professional	26	$20.89	$28.18	$33.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $60.26 / $75.86	Professional	TC	$45.71	$60.26	$75.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $72.44 / $134.90	Professional		$48.98	$72.44	$134.90
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $25.12 / $44.67	Professional	26	$18.20	$25.12	$44.67
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $47.86 / $89.13	Professional	TC	$30.20	$47.86	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.44 / $229.09	Professional	26	$22.91	$23.44	$229.09
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $43.65 / $75.86	Facility	26	$19.95	$43.65	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $141.25	Professional		$52.48	$70.79	$141.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $44.67	Professional	26	$16.98	$20.89	$44.67
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $46.77 / $97.72	Professional	TC	$33.88	$46.77	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $154.88 / $173.78	Professional		$112.20	$154.88	$173.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $20.42 / $20.89	Facility	26	$20.42	$20.42	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $51.29 / $112.20	Professional		$12.88	$51.29	$112.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $20.42 / $21.38	Professional	26	$19.95	$20.42	$21.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $41.69 / $46.77	Professional	TC	$39.81	$41.69	$46.77
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $24.55 / $44.67	Professional	26	$17.38	$24.55	$44.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $45.71 / $81.28	Professional	TC	$34.67	$45.71	$81.28

Pennsylvania rates for HCPCS 77074