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 $218.78 / $489.78 / $870.96	Facility	26	$218.78	$489.78	$870.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $602.56 / $2,398.83	Professional		$407.38	$602.56	$2,398.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $208.93 / $346.74 / $831.76	Professional	26	$208.93	$346.74	$831.76
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $338.84 / $1,479.11	Professional	TC	$213.80	$338.84	$1,479.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $229.09 / $436.52	Professional	26	$190.55	$229.09	$436.52
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $234.42 / $302.00	Professional	26	$229.09	$234.42	$302.00
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $602.56 / $1,479.11	Professional		$478.63	$602.56	$1,479.11
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $281.84 / $524.81	Professional	26	$229.09	$281.84	$524.81
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $316.23 / $1,230.27	Professional	TC	$245.47	$316.23	$1,230.27
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $758.58 / $1,479.11	Professional		$436.52	$758.58	$1,479.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $275.42 / $436.52	Professional	26	$190.55	$275.42	$436.52
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $446.68 / $1,174.90	Professional	TC	$234.42	$446.68	$1,174.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $812.83	Professional		$630.96	$630.96	$812.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $295.12 / $295.12 / $371.54	Professional	26	$295.12	$295.12	$371.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $331.13 / $331.13 / $446.68	Professional	TC	$331.13	$331.13	$446.68
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $870.96 / $1,380.38	Professional		$549.54	$870.96	$1,380.38
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $288.40 / $467.74	Professional	26	$186.21	$288.40	$467.74
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $524.81 / $1,096.48	Professional	TC	$302.00	$524.81	$1,096.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $977.24 / $1,000.00	Professional		$549.54	$977.24	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $245.47 / $269.15 / $371.54	Professional	26	$245.47	$269.15	$371.54
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $229.09 / $229.09 / $302.00	Professional	26	$229.09	$229.09	$302.00
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $199.53 / $331.13 / $724.44	Facility	26	$199.53	$331.13	$724.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $630.96 / $1,096.48	Professional		$407.38	$630.96	$1,096.48
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $275.42 / $478.63	Professional	26	$194.98	$275.42	$478.63
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $354.81 / $602.56	Professional	TC	$213.80	$354.81	$602.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $891.25 / $1,621.81	Professional		$741.31	$891.25	$1,621.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $223.87 / $223.87 / $229.09	Facility	26	$223.87	$223.87	$229.09
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $467.74 / $831.76	Professional		$213.80	$467.74	$831.76
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $218.78 / $223.87 / $229.09	Professional	26	$218.78	$223.87	$229.09
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $245.47 / $954.99	Professional	TC	$234.42	$245.47	$954.99
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $630.96 / $1,202.26	Professional		$426.58	$630.96	$1,202.26
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $204.17 / $263.03 / $426.58	Professional	26	$204.17	$263.03	$426.58
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $338.84 / $870.96	Professional	TC	$223.87	$338.84	$870.96

Pennsylvania rates for HCPCS 77295