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 $32.36 / $61.66 / $120.23	Facility	26	$32.36	$61.66	$120.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $316.23 / $851.14	Professional		$269.15	$316.23	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $47.86 / $100.00	Professional	26	$30.90	$47.86	$100.00
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $281.84 / $478.63	Professional	TC	$234.42	$281.84	$478.63
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $53.70	Professional	26	$36.31	$36.31	$53.70
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $707.95	Professional	26	$42.66	$42.66	$707.95
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $489.78 / $616.60	Professional		$275.42	$489.78	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $57.54 / $70.79	Professional	26	$34.67	$57.54	$70.79
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $426.58 / $549.54	Professional	TC	$245.47	$426.58	$549.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $407.38 / $602.56	Professional		$239.88	$407.38	$602.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $44.67 / $67.61	Professional	26	$25.12	$44.67	$67.61
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $354.81 / $537.03	Professional	TC	$218.78	$354.81	$537.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	26	$54.95	$54.95	$54.95
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional	TC	$436.52	$436.52	$436.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $371.54 / $512.86	Professional		$251.19	$371.54	$512.86
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $58.88	Professional	26	$33.11	$44.67	$58.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $331.13 / $457.09	Professional	TC	$213.80	$331.13	$457.09
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $37.15 / $56.23	Professional	26	$34.67	$37.15	$56.23
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $1,659.59	Professional	26	$42.66	$46.77	$1,659.59
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $50.12 / $100.00	Facility	26	$32.36	$50.12	$100.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $338.84 / $630.96	Professional		$269.15	$338.84	$630.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $37.15 / $70.79	Professional	26	$29.51	$37.15	$70.79
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $302.00 / $562.34	Professional	TC	$234.42	$302.00	$562.34
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $549.54 / $676.08	Professional		$436.52	$549.54	$676.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $33.88	Facility	26	$32.36	$32.36	$33.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $331.13	Professional		$83.18	$125.89	$331.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $35.48	Professional	26	$32.36	$32.36	$35.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $251.19 / $281.84	Professional	TC	$251.19	$251.19	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $354.81 / $602.56	Professional		$288.40	$354.81	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $40.74 / $67.61	Professional	26	$32.36	$40.74	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $537.03	Professional	TC	$251.19	$323.59	$537.03

Pennsylvania rates for HCPCS 78226