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 $8.91 / $19.05 / $35.48	Facility	26	$8.91	$19.05	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $32.36 / $100.00	Professional		$25.12	$32.36	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $9.77 / $26.30	Professional	26	$7.94	$9.77	$26.30
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $20.89 / $39.81	Professional	TC	$15.85	$20.89	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $42.66	Professional		$33.11	$33.11	$42.66
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.23 / $12.88	Professional	26	$10.23	$10.23	$12.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $32.36 / $52.48	Professional		$30.90	$32.36	$52.48
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.77 / $20.42	Professional	26	$9.33	$9.77	$20.42
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $22.39 / $36.31	Professional	TC	$21.38	$22.39	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $38.90 / $61.66	Professional		$23.99	$38.90	$61.66
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.59 / $19.95	Professional	26	$7.59	$12.59	$19.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $26.30 / $42.66	Professional	TC	$16.22	$26.30	$42.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $43.65 / $53.70	Professional		$33.11	$43.65	$53.70
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 $23.44 / $30.90 / $38.90	Professional	TC	$23.44	$30.90	$38.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $38.90 / $66.07	Professional		$29.51	$38.90	$66.07
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $12.02 / $20.42	Professional	26	$9.12	$12.02	$20.42
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.92 / $45.71	Professional	TC	$19.95	$26.92	$45.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $37.15 / $39.81	Professional		$37.15	$37.15	$39.81
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.72 / $14.45	Professional	26	$10.00	$10.72	$14.45
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $42.66 / $275.42	Professional		$33.11	$42.66	$275.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $10.23 / $13.49	Professional	26	$10.23	$10.23	$13.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $14.45 / $35.48	Facility	26	$8.71	$14.45	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $32.36 / $72.44	Professional		$25.12	$32.36	$72.44
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.47 / $22.91	Professional	26	$7.94	$10.47	$22.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $21.88 / $48.98	Professional	TC	$16.22	$21.88	$48.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $47.86 / $61.66	Professional		$10.47	$47.86	$61.66
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $10.96	Facility	26	$9.55	$9.55	$10.96
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $24.55 / $60.26	Professional		$12.59	$24.55	$60.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.55 / $10.00	Professional	26	$9.33	$9.55	$10.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $20.42 / $22.39	Professional	TC	$19.95	$20.42	$22.39
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $34.67 / $64.57	Professional		$24.55	$34.67	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $11.22 / $23.44	Professional	26	$7.41	$11.22	$23.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.44 / $43.65	Professional	TC	$16.22	$23.44	$43.65

Pennsylvania rates for HCPCS 77081