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 $8.51 / $16.98 / $36.31	Facility	26	$8.51	$16.98	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $61.66 / $239.88	Professional		$32.36	$61.66	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $12.59 / $32.36	Professional	26	$8.32	$12.59	$32.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $38.90 / $104.71	Professional	TC	$22.39	$38.90	$104.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $35.48 / $53.70	Professional		$26.30	$35.48	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $13.80 / $17.78	Professional	26	$7.76	$13.80	$17.78
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $51.29	Professional		$39.81	$39.81	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $9.77 / $12.88	Professional	26	$9.77	$9.77	$12.88
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $30.20 / $38.90	Professional	TC	$30.20	$30.20	$38.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $47.86 / $75.86	Professional		$39.81	$47.86	$75.86
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $11.22 / $19.05	Professional	26	$10.00	$11.22	$19.05
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $35.48 / $70.79	Professional	TC	$30.20	$35.48	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $66.07 / $151.36	Professional		$34.67	$66.07	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $12.02 / $19.95	Professional	26	$7.24	$12.02	$19.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $53.70 / $125.89	Professional	TC	$26.92	$53.70	$125.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $67.61	Professional		$40.74	$54.95	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $12.59 / $15.14	Professional	26	$9.33	$12.59	$15.14
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $41.69 / $52.48	Professional	TC	$31.62	$41.69	$52.48
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $107.15	Professional		$40.74	$63.10	$107.15
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.02 / $20.42	Professional	26	$8.71	$12.02	$20.42
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $52.48 / $93.33	Professional	TC	$30.20	$52.48	$93.33
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $190.55 / $389.05 / $389.05	Facility	26	$190.55	$389.05	$389.05
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $47.86 / $51.29	Professional		$44.67	$47.86	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $11.22 / $16.60	Professional	26	$10.23	$11.22	$16.60
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $52.48 / $54.95	Professional	TC	$43.65	$52.48	$54.95
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $52.48	Professional		$39.81	$39.81	$52.48
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $9.77 / $12.88	Professional	26	$9.77	$9.77	$12.88
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $30.20 / $39.81	Professional	TC	$30.20	$30.20	$39.81
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $11.75 / $22.91	Facility	26	$8.51	$11.75	$22.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $117.49	Professional		$32.36	$50.12	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.96 / $20.89	Professional	26	$7.94	$10.96	$20.89
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.02 / $93.33	Professional	TC	$22.91	$38.02	$93.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $64.57 / $181.97	Professional		$10.47	$64.57	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $32.36 / $32.36	Facility	26	$9.33	$32.36	$32.36
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $32.36 / $91.20	Professional		$16.98	$32.36	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.55 / $32.36	Professional	26	$9.12	$9.55	$32.36
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $27.54 / $87.10	Professional	TC	$26.92	$27.54	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $56.23 / $109.65	Professional		$33.11	$56.23	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $11.22 / $26.30	Professional	26	$7.24	$11.22	$26.30
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $38.90 / $87.10	Professional	TC	$23.99	$38.90	$87.10

Pennsylvania rates for HCPCS 77080