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 $47.86 / $95.50 / $181.97	Facility	26	$47.86	$95.50	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $316.23 / $616.60	Professional		$269.15	$316.23	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $67.61 / $158.49	Professional	26	$43.65	$67.61	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $269.15 / $457.09	Professional	TC	$229.09	$269.15	$457.09
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $501.19 / $602.56	Professional		$288.40	$501.19	$602.56
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $83.18 / $100.00	Professional	26	$48.98	$83.18	$100.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $416.87 / $501.19	Professional	TC	$234.42	$416.87	$501.19
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $407.38 / $602.56	Professional		$234.42	$407.38	$602.56
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $64.57 / $97.72	Professional	26	$35.48	$64.57	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $338.84 / $512.86	Professional	TC	$199.53	$338.84	$512.86
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 $79.43 / $79.43 / $79.43	Professional	26	$79.43	$79.43	$79.43
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	TC	$416.87	$416.87	$416.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $380.19 / $501.19	Professional		$245.47	$380.19	$501.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $64.57 / $83.18	Professional	26	$47.86	$64.57	$83.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $309.03 / $416.87	Professional	TC	$199.53	$309.03	$416.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $52.48 / $81.28	Professional	26	$50.12	$52.48	$81.28
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $47.86 / $74.13 / $169.82	Facility	26	$47.86	$74.13	$169.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $616.60	Professional		$269.15	$331.13	$616.60
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $51.29 / $93.33	Professional	26	$41.69	$51.29	$93.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $288.40 / $524.81	Professional	TC	$223.87	$288.40	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $537.03 / $676.08	Professional		$380.19	$537.03	$676.08
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $48.98 / $48.98	Facility	26	$45.71	$48.98	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $162.18 / $323.59	Professional		$70.79	$162.18	$323.59
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $48.98 / $50.12	Professional	26	$45.71	$48.98	$50.12
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $229.09 / $245.47 / $269.15	Professional	TC	$229.09	$245.47	$269.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $363.08 / $602.56	Professional		$288.40	$363.08	$602.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $58.88 / $97.72	Professional	26	$45.71	$58.88	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $316.23 / $512.86	Professional	TC	$239.88	$316.23	$512.86

Pennsylvania rates for HCPCS 78582