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 $20.89 / $43.65 / $81.28	Facility	26	$20.89	$43.65	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $239.88 / $1,202.26	Professional		$194.98	$239.88	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $32.36 / $69.18	Professional	26	$19.95	$32.36	$69.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $208.93 / $380.19	Professional	TC	$173.78	$208.93	$380.19
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $35.48 / $44.67	Professional	26	$34.67	$35.48	$44.67
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $37.15	Professional	26	$28.84	$28.84	$37.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $354.81 / $436.52	Professional		$204.17	$354.81	$436.52
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $38.90 / $46.77	Professional	26	$23.44	$38.90	$46.77
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $316.23 / $398.11	Professional	TC	$181.97	$316.23	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $295.12 / $436.52	Professional		$177.83	$295.12	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $30.20 / $45.71	Professional	26	$16.98	$30.20	$45.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $263.03 / $389.05	Professional	TC	$162.18	$263.03	$389.05
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	26	$37.15	$37.15	$37.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $275.42 / $380.19	Professional		$181.97	$275.42	$380.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $29.51 / $39.81	Professional	26	$19.05	$29.51	$39.81
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $245.47 / $338.84	Professional	TC	$162.18	$245.47	$338.84
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $25.12 / $30.90	Professional	26	$22.91	$25.12	$30.90
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $208.93	Professional	26	$28.84	$28.84	$208.93
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $33.88 / $67.61	Facility	26	$20.89	$33.88	$67.61
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $245.47 / $478.63	Professional		$194.98	$245.47	$478.63
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $23.99 / $45.71	Professional	26	$19.50	$23.99	$45.71
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $223.87 / $446.68	Professional	TC	$173.78	$223.87	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $199.53 / $416.87	Professional		$23.99	$199.53	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $22.91	Facility	26	$21.88	$21.88	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $104.71 / $213.80	Professional		$54.95	$104.71	$213.80
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.39 / $23.99	Professional	26	$21.88	$22.39	$23.99
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $208.93	Professional	TC	$186.21	$186.21	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $263.03 / $436.52	Professional		$208.93	$263.03	$436.52
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $27.54 / $45.71	Professional	26	$21.88	$27.54	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $239.88 / $398.11	Professional	TC	$186.21	$239.88	$398.11

Pennsylvania rates for HCPCS 78014