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 $13.49 / $27.54 / $52.48	Facility	26	$13.49	$27.54	$52.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $53.70 / $144.54	Professional		$41.69	$53.70	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $33.11	Professional	26	$10.96	$14.13	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.02 / $77.62	Professional	TC	$28.84	$38.02	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $17.78	Professional	26	$16.22	$16.22	$17.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $66.07 / $100.00	Professional		$52.48	$66.07	$100.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $18.62 / $28.84	Professional	26	$14.13	$18.62	$28.84
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $46.77 / $74.13	Professional	TC	$38.02	$46.77	$74.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $66.07 / $102.33	Professional		$41.69	$66.07	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $28.84	Professional	26	$10.96	$18.20	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $48.98 / $74.13	Professional	TC	$30.90	$48.98	$74.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $93.33	Professional		$56.23	$75.86	$93.33
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.50 / $23.44	Professional	26	$14.45	$19.50	$23.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $69.18	Professional	TC	$41.69	$54.95	$69.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $112.20	Professional		$45.71	$60.26	$112.20
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.60 / $30.90	Professional	26	$12.59	$16.60	$30.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $43.65 / $81.28	Professional	TC	$30.90	$43.65	$81.28
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $61.66 / $97.72	Professional		$56.23	$61.66	$97.72
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.85 / $16.22	Professional	26	$14.79	$15.85	$16.22
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $21.38 / $48.98	Facility	26	$12.88	$21.38	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $57.54 / $123.03	Professional		$41.69	$57.54	$123.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $14.79 / $30.90	Professional	26	$11.75	$14.79	$30.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $40.74 / $89.13	Professional	TC	$28.84	$40.74	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $64.57 / $104.71	Professional		$15.49	$64.57	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $14.13 / $16.60	Facility	26	$14.13	$14.13	$16.60
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $39.81 / $79.43	Professional		$12.30	$39.81	$79.43
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $14.13 / $16.60	Professional	26	$13.80	$14.13	$16.60
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $35.48 / $41.69	Professional	TC	$34.67	$35.48	$41.69
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $57.54 / $102.33	Professional		$40.74	$57.54	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.22 / $32.36	Professional	26	$10.96	$16.22	$32.36
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $41.69 / $75.86	Professional	TC	$28.18	$41.69	$75.86

Pennsylvania rates for HCPCS 77085