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 $79.43 / $154.88 / $302.00	Facility	26	$79.43	$154.88	$302.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $446.68 / $2,238.72	Professional		$338.84	$446.68	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $93.33 / $208.93	Professional	26	$67.61	$93.33	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $363.08 / $645.65	Professional	TC	$275.42	$363.08	$645.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional	26	$138.04	$138.04	$138.04
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $114.82	Professional	26	$89.13	$89.13	$114.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $602.56 / $741.31	Professional		$371.54	$602.56	$741.31
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $123.03 / $151.36	Professional	26	$72.44	$123.03	$151.36
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $478.63 / $602.56	Professional	TC	$302.00	$478.63	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $501.19 / $851.14	Professional		$316.23	$501.19	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $97.72 / $144.54	Professional	26	$54.95	$97.72	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $407.38 / $707.95	Professional	TC	$257.04	$407.38	$707.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	26	$114.82	$114.82	$114.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional	TC	$537.03	$537.03	$537.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $524.81 / $794.33	Professional		$354.81	$524.81	$794.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $95.50 / $128.82	Professional	26	$63.10	$95.50	$128.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $426.58 / $630.96	Professional	TC	$288.40	$426.58	$630.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $79.43 / $123.03	Professional	26	$75.86	$79.43	$123.03
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $524.81	Professional	26	$89.13	$89.13	$524.81
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $79.43 / $109.65 / $257.04	Facility	26	$79.43	$109.65	$257.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $933.25	Professional		$354.81	$478.63	$933.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $83.18 / $154.88	Professional	26	$67.61	$83.18	$154.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $398.11 / $758.58	Professional	TC	$288.40	$398.11	$758.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $691.83 / $891.25	Professional		$575.44	$691.83	$891.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $72.44	Facility	26	$70.79	$70.79	$72.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $354.81 / $426.58	Professional		$346.74	$354.81	$426.58
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $72.44 / $74.13	Professional	26	$70.79	$72.44	$74.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $316.23 / $346.74	Professional	TC	$275.42	$316.23	$346.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $457.09 / $758.58	Professional		$354.81	$457.09	$758.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $87.10 / $141.25	Professional	26	$69.18	$87.10	$141.25
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $398.11 / $660.69	Professional	TC	$288.40	$398.11	$660.69

Pennsylvania rates for HCPCS 78072