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 / $50.12 / $89.13	Facility	26	$25.70	$50.12	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $281.84	Professional		$79.43	$109.65	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $35.48 / $74.13	Professional	26	$22.91	$35.48	$74.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $134.90	Professional	TC	$56.23	$77.62	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $100.00 / $169.82	Professional		$95.50	$100.00	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.92 / $50.12	Professional	26	$26.30	$26.92	$50.12
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $72.44 / $123.03	Professional	TC	$69.18	$72.44	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $186.21	Professional		$74.13	$112.20	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $31.62 / $52.48	Professional	26	$19.50	$31.62	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $83.18 / $141.25	Professional	TC	$54.95	$83.18	$141.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $165.96	Professional		$100.00	$134.90	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $41.69	Professional	26	$26.30	$34.67	$41.69
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $100.00 / $125.89	Professional	TC	$75.86	$100.00	$125.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $109.65 / $190.55	Professional		$67.61	$109.65	$190.55
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $54.95	Professional	26	$21.88	$30.90	$54.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $75.86 / $141.25	Professional	TC	$45.71	$75.86	$141.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $117.49 / $125.89	Professional		$109.65	$117.49	$125.89
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $31.62 / $44.67	Professional	26	$28.84	$31.62	$44.67
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $39.81 / $89.13	Facility	26	$23.99	$39.81	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $112.20 / $223.87	Professional		$81.28	$112.20	$223.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.84 / $58.88	Professional	26	$21.88	$28.84	$58.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $81.28 / $162.18	Professional	TC	$57.54	$81.28	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $229.09	Professional		$109.65	$147.91	$229.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $39.81	Facility	26	$26.30	$26.30	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $79.43 / $218.78	Professional		$32.36	$79.43	$218.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $26.30 / $39.81	Professional	26	$25.70	$26.30	$39.81
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $69.18 / $77.62	Professional	TC	$66.07	$69.18	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $100.00 / $177.83	Professional		$75.86	$100.00	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $56.23	Professional	26	$20.89	$30.90	$56.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $74.13 / $128.82	Professional	TC	$54.95	$74.13	$128.82

Pennsylvania rates for HCPCS 77075