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 $50.12 / $112.20 / $165.96	Facility	26	$50.12	$112.20	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $316.23	Professional		$173.78	$213.80	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $169.82 / $288.40	Professional	TC	$134.90	$169.82	$288.40
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $204.17 / $416.87	Professional		$194.98	$204.17	$416.87
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $158.49 / $331.13	Professional	TC	$154.88	$158.49	$331.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $281.84 / $426.58	Professional		$177.83	$281.84	$426.58
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $229.09 / $346.74	Professional	TC	$144.54	$229.09	$346.74
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	TC	$281.84	$281.84	$281.84
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $269.15 / $416.87	Professional		$190.55	$269.15	$416.87
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $208.93 / $331.13	Professional	TC	$151.36	$208.93	$331.13
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $85.11 / $147.91	Facility	26	$41.69	$85.11	$147.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $204.17 / $269.15	Professional		$173.78	$204.17	$269.15
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $162.18 / $245.47	Professional	TC	$134.90	$162.18	$245.47
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $371.54 / $457.09	Professional		$309.03	$371.54	$457.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $50.12	Facility	26	$42.66	$42.66	$50.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $162.18 / $407.38	Professional		$104.71	$162.18	$407.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $173.78 / $199.53	Professional	TC	$154.88	$173.78	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $245.47 / $407.38	Professional		$194.98	$245.47	$407.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $199.53 / $331.13	Professional	TC	$154.88	$199.53	$331.13

Pennsylvania rates for HCPCS 78469