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 $37.15 / $81.28 / $147.91	Facility	26	$37.15	$81.28	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $302.00 / $1,000.00	Professional		$194.98	$302.00	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $57.54 / $123.03	Professional	26	$33.11	$57.54	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $245.47 / $1,096.48	Professional	TC	$165.96	$245.47	$1,096.48
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $58.88 / $72.44	Professional	26	$36.31	$58.88	$72.44
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $51.29	Professional	26	$38.90	$38.90	$51.29
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $281.84 / $489.78	Professional		$257.04	$281.84	$489.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $46.77 / $81.28	Professional	26	$38.02	$46.77	$81.28
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $229.09 / $426.58	Professional	TC	$218.78	$229.09	$426.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $269.15 / $501.19	Professional		$173.78	$269.15	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $43.65 / $70.79	Professional	26	$30.90	$43.65	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $234.42 / $426.58	Professional	TC	$131.83	$234.42	$426.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $60.26	Professional	26	$48.98	$48.98	$60.26
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $295.12 / $398.11	Professional	TC	$295.12	$295.12	$398.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $288.40 / $436.52	Professional		$128.82	$288.40	$436.52
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $45.71 / $72.44	Professional	26	$28.18	$45.71	$72.44
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $245.47 / $371.54	Professional	TC	$100.00	$245.47	$371.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $295.12 / $524.81	Professional		$199.53	$295.12	$524.81
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $42.66 / $61.66	Professional	26	$40.74	$42.66	$61.66
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $51.29	Professional	26	$38.90	$38.90	$51.29
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $56.23 / $114.82	Facility	26	$33.11	$56.23	$114.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $316.23 / $602.56	Professional		$194.98	$316.23	$602.56
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $44.67 / $79.43	Professional	26	$31.62	$44.67	$79.43
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $275.42 / $524.81	Professional	TC	$162.18	$275.42	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $478.63 / $537.03	Professional		$229.09	$478.63	$537.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $38.90 / $38.90	Facility	26	$37.15	$38.90	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $125.89 / $354.81	Professional		$74.13	$125.89	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $38.90	Professional	26	$37.15	$38.02	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $218.78 / $239.88	Professional	TC	$151.36	$218.78	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $275.42 / $501.19	Professional		$162.18	$275.42	$501.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $41.69 / $70.79	Professional	26	$32.36	$41.69	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $245.47 / $426.58	Professional	TC	$158.49	$245.47	$426.58

Pennsylvania rates for HCPCS 77280