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 / $169.82	Facility	26	$47.86	$95.50	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $371.54 / $1,174.90	Professional		$302.00	$371.54	$1,174.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $70.79 / $151.36	Professional	26	$43.65	$70.79	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $323.59 / $562.34	Professional	TC	$257.04	$323.59	$562.34
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $93.33	Professional	26	$77.62	$77.62	$93.33
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $77.62	Professional	26	$60.26	$60.26	$77.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $512.86 / $616.60	Professional		$323.59	$512.86	$616.60
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $83.18 / $128.82	Professional	26	$50.12	$83.18	$128.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $416.87 / $537.03	Professional	TC	$275.42	$416.87	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $416.87 / $645.65	Professional		$269.15	$416.87	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $64.57 / $95.50	Professional	26	$38.02	$64.57	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $346.74 / $549.54	Professional	TC	$204.17	$346.74	$549.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $575.44 / $575.44	Professional		$575.44	$575.44	$575.44
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 $489.78 / $489.78 / $489.78	Professional	TC	$489.78	$489.78	$489.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $436.52 / $602.56	Professional		$229.09	$436.52	$602.56
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $67.61 / $97.72	Professional	26	$46.77	$67.61	$97.72
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $371.54 / $478.63	Professional	TC	$186.21	$371.54	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $61.66 / $83.18	Professional	26	$52.48	$61.66	$83.18
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $60.26 / $1,548.82	Professional	26	$60.26	$60.26	$1,548.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $74.13 / $144.54	Facility	26	$45.71	$74.13	$144.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $398.11 / $794.33	Professional		$302.00	$398.11	$794.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $56.23 / $112.20	Professional	26	$41.69	$56.23	$112.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $338.84 / $676.08	Professional	TC	$257.04	$338.84	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $602.56 / $691.83	Professional		$407.38	$602.56	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $58.88	Facility	26	$48.98	$48.98	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $194.98 / $371.54	Professional		$67.61	$194.98	$371.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $51.29 / $58.88	Professional	26	$47.86	$51.29	$58.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $288.40 / $316.23	Professional	TC	$251.19	$288.40	$316.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $407.38 / $660.69	Professional		$302.00	$407.38	$660.69
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 $251.19 / $363.08 / $602.56	Professional	TC	$251.19	$363.08	$602.56

Pennsylvania rates for HCPCS 78803