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 $60.26 / $125.89 / $234.42	Facility	26	$60.26	$125.89	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $346.74 / $912.01	Professional		$263.03	$346.74	$912.01
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $66.07 / $181.97	Professional	26	$53.70	$66.07	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $263.03 / $478.63	Professional	TC	$208.93	$263.03	$478.63
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $457.09 / $616.60	Professional		$295.12	$457.09	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $87.10 / $123.03	Professional	26	$63.10	$87.10	$123.03
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $363.08 / $489.78	Professional	TC	$229.09	$363.08	$489.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $398.11 / $602.56	Professional		$245.47	$398.11	$602.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $81.28 / $123.03	Professional	26	$44.67	$81.28	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $316.23 / $489.78	Professional	TC	$194.98	$316.23	$489.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional	26	$102.33	$102.33	$102.33
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Professional	TC	$426.58	$426.58	$426.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $416.87 / $707.95	Professional		$331.13	$416.87	$707.95
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $95.50 / $138.04	Professional	26	$70.79	$95.50	$138.04
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $549.54	Professional	TC	$257.04	$338.84	$549.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $104.71 / $107.15	Professional	26	$66.07	$104.71	$107.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $95.50 / $218.78	Facility	26	$53.70	$95.50	$218.78
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $741.31	Professional		$263.03	$354.81	$741.31
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $66.07 / $134.90	Professional	26	$53.70	$66.07	$134.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $281.84 / $588.84	Professional	TC	$208.93	$281.84	$588.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $562.34 / $691.83	Professional		$275.42	$562.34	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $63.10 / $114.82 / $114.82	Facility	26	$63.10	$114.82	$114.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $309.03 / $371.54	Professional		$251.19	$309.03	$371.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $64.57 / $114.82	Professional	26	$63.10	$64.57	$114.82
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $251.19 / $263.03	Professional	TC	$239.88	$251.19	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $407.38 / $630.96	Professional		$295.12	$407.38	$630.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $83.18 / $128.82	Professional	26	$60.26	$83.18	$128.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $316.23 / $501.19	Professional	TC	$234.42	$316.23	$501.19

Pennsylvania rates for HCPCS 78451