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 $43.65 / $117.49 / $165.96	Facility	26	$43.65	$117.49	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $239.88 / $776.25	Professional		$186.21	$239.88	$776.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $134.90	Professional	26	$38.02	$50.12	$134.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $186.21 / $338.84	Professional	TC	$147.91	$186.21	$338.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $208.93 / $416.87	Professional		$199.53	$208.93	$416.87
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $46.77 / $87.10	Professional	26	$45.71	$46.77	$87.10
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $158.49 / $323.59	Professional	TC	$154.88	$158.49	$323.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $295.12 / $436.52	Professional		$181.97	$295.12	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $58.88 / $89.13	Professional	26	$34.67	$58.88	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $234.42 / $354.81	Professional	TC	$147.91	$234.42	$354.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	26	$72.44	$72.44	$72.44
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 $199.53 / $275.42 / $426.58	Professional		$199.53	$275.42	$426.58
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $61.66 / $89.13	Professional	26	$43.65	$61.66	$89.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $213.80 / $338.84	Professional	TC	$158.49	$213.80	$338.84
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $52.48	Professional	26	$48.98	$48.98	$52.48
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $89.13 / $154.88	Facility	26	$43.65	$89.13	$154.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $239.88 / $467.74	Professional		$177.83	$239.88	$467.74
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $46.77 / $95.50	Professional	26	$38.02	$46.77	$95.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $186.21 / $371.54	Professional	TC	$138.04	$186.21	$371.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $371.54 / $467.74	Professional		$316.23	$371.54	$467.74
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $53.70	Facility	26	$44.67	$44.67	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $309.03	Professional		$117.49	$169.82	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $46.77 / $53.70	Professional	26	$43.65	$46.77	$53.70
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $158.49 / $173.78 / $213.80	Professional	TC	$158.49	$173.78	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $257.04 / $416.87	Professional		$199.53	$257.04	$416.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $89.13	Professional	26	$42.66	$54.95	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $204.17 / $338.84	Professional	TC	$154.88	$204.17	$338.84

Pennsylvania rates for HCPCS 78472