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 $33.11 / $66.07 / $128.82	Facility	26	$33.11	$66.07	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $316.23 / $1,380.38	Professional		$251.19	$316.23	$1,380.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $61.66 / $131.83	Professional	26	$33.11	$61.66	$131.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $275.42 / $660.69	Professional	TC	$218.78	$275.42	$660.69
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $56.23 / $57.54	Professional	26	$36.31	$56.23	$57.54
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $81.28	Professional	26	$45.71	$45.71	$81.28
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $380.19 / $602.56	Professional		$281.84	$380.19	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $61.66 / $91.20	Professional	26	$37.15	$61.66	$91.20
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $331.13 / $537.03	Professional	TC	$245.47	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $346.74 / $575.44	Professional		$204.17	$346.74	$575.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $46.77 / $69.18	Professional	26	$28.84	$46.77	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $295.12 / $501.19	Professional	TC	$165.96	$295.12	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Professional	26	$57.54	$57.54	$57.54
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 $169.82 / $346.74 / $467.74	Professional		$169.82	$346.74	$467.74
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $47.86 / $74.13	Professional	26	$33.88	$47.86	$74.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $295.12 / $407.38	Professional	TC	$134.90	$295.12	$407.38
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $42.66 / $67.61	Professional	26	$38.02	$42.66	$67.61
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $323.59	Professional	26	$45.71	$45.71	$323.59
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $87.10	Facility	26	$33.11	$47.86	$87.10
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $338.84 / $660.69	Professional		$257.04	$338.84	$660.69
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $40.74 / $77.62	Professional	26	$32.36	$40.74	$77.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $302.00 / $588.84	Professional	TC	$223.87	$302.00	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $524.81 / $588.84	Professional		$263.03	$524.81	$588.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $42.66 / $42.66	Facility	26	$36.31	$42.66	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $128.82 / $295.12	Professional		$45.71	$128.82	$295.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $42.66	Professional	26	$36.31	$38.02	$42.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $257.04 / $281.84	Professional	TC	$213.80	$257.04	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $338.84 / $588.84	Professional		$208.93	$338.84	$588.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $43.65 / $72.44	Professional	26	$33.88	$43.65	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $302.00 / $537.03	Professional	TC	$204.17	$302.00	$537.03

Pennsylvania rates for HCPCS 78264