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 $64.57 / $125.89 / $245.47	Facility	26	$64.57	$125.89	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $489.78 / $1,995.26	Professional		$398.11	$489.78	$1,995.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $79.43 / $213.80	Professional	26	$57.54	$79.43	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $398.11 / $691.83	Professional	TC	$338.84	$398.11	$691.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $104.71	Professional	26	$70.79	$70.79	$104.71
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $107.15	Professional	26	$81.28	$81.28	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $549.54 / $794.33	Professional		$407.38	$549.54	$794.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $87.10 / $120.23	Professional	26	$67.61	$87.10	$120.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $457.09 / $676.08	Professional	TC	$338.84	$457.09	$676.08
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $588.84 / $870.96	Professional		$354.81	$588.84	$870.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $87.10 / $131.83	Professional	26	$48.98	$87.10	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $501.19 / $741.31	Professional	TC	$302.00	$501.19	$741.31
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional	TC	$616.60	$616.60	$616.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $691.83	Professional		$398.11	$549.54	$691.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $89.13 / $112.20	Professional	26	$70.79	$89.13	$112.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $457.09 / $575.44	Professional	TC	$323.59	$457.09	$575.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $83.18 / $120.23	Professional	26	$69.18	$83.18	$120.23
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $812.83	Professional	26	$81.28	$81.28	$812.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $100.00 / $234.42	Facility	26	$57.54	$100.00	$234.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $512.86 / $977.24	Professional		$398.11	$512.86	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $72.44 / $138.04	Professional	26	$57.54	$72.44	$138.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $436.52 / $831.76	Professional	TC	$338.84	$436.52	$831.76
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $812.83	Professional		$645.65	$758.58	$812.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $79.43	Facility	26	$66.07	$66.07	$79.43
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $467.74 / $1,096.48	Professional		$35.48	$467.74	$1,096.48
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $69.18 / $79.43	Professional	26	$64.57	$69.18	$79.43
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $398.11 / $446.68	Professional	TC	$354.81	$398.11	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $537.03 / $891.25	Professional		$426.58	$537.03	$891.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $63.10 / $81.28 / $134.90	Professional	26	$63.10	$81.28	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $467.74 / $758.58	Professional	TC	$363.08	$467.74	$758.58

Pennsylvania rates for HCPCS 78830