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 $44.67 / $89.13 / $162.18	Facility	26	$44.67	$89.13	$162.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $1,000.00	Professional		$269.15	$331.13	$1,000.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $66.07 / $173.78	Professional	26	$41.69	$66.07	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $281.84 / $501.19	Professional	TC	$223.87	$281.84	$501.19
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $75.86	Professional	26	$58.88	$58.88	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $616.60	Professional		$295.12	$398.11	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $79.43 / $117.49	Professional	26	$47.86	$79.43	$117.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $338.84 / $537.03	Professional	TC	$251.19	$338.84	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $380.19 / $616.60	Professional		$245.47	$380.19	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $61.66 / $93.33	Professional	26	$37.15	$61.66	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $316.23 / $524.81	Professional	TC	$186.21	$316.23	$524.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Professional	26	$74.13	$74.13	$74.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Professional	TC	$446.68	$446.68	$446.68
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $398.11 / $489.78	Professional		$204.17	$398.11	$489.78
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $63.10 / $93.33	Professional	26	$44.67	$63.10	$93.33
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $331.13 / $416.87	Professional	TC	$158.49	$331.13	$416.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $52.48 / $95.50	Professional	26	$50.12	$52.48	$95.50
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $64.57 / $446.68	Professional	26	$58.88	$64.57	$446.68
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $44.67 / $67.61 / $134.90	Facility	26	$44.67	$67.61	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $363.08 / $707.95	Professional		$269.15	$363.08	$707.95
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $102.33	Professional	26	$40.74	$53.70	$102.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $309.03 / $616.60	Professional	TC	$229.09	$309.03	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $549.54 / $660.69	Professional		$316.23	$549.54	$660.69
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $54.95	Facility	26	$46.77	$46.77	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $194.98 / $338.84	Professional		$40.74	$194.98	$338.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $48.98 / $54.95	Professional	26	$46.77	$48.98	$54.95
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $263.03 / $288.40	Professional	TC	$251.19	$263.03	$288.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $363.08 / $630.96	Professional		$234.42	$363.08	$630.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $56.23 / $93.33	Professional	26	$43.65	$56.23	$93.33
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $323.59 / $537.03	Professional	TC	$223.87	$323.59	$537.03

Pennsylvania rates for HCPCS 78315