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 Typical Low / Median / Typical High $114.82 / $229.09 / $426.58	Facility		$114.82	$229.09	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $309.03	Professional		$104.71	$151.36	$309.03
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $676.08 / $676.08 / $676.08	Professional	25	$676.08	$676.08	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $131.83 / $181.97	Professional		$100.00	$131.83	$181.97
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $181.97	Professional		$102.33	$147.91	$181.97
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $208.93 / $295.12	Professional		$173.78	$208.93	$295.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $151.36 / $239.88	Professional		$93.33	$151.36	$239.88
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $104.71 / $144.54	Professional		$91.20	$104.71	$144.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $112.20	Facility		$107.15	$107.15	$112.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $177.83 / $323.59	Professional		$131.83	$177.83	$323.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $186.21 / $426.58	Facility		$95.50	$186.21	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $158.49 / $204.17	Professional		$131.83	$158.49	$204.17
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Professional	25	$120.23	$120.23	$120.23
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $151.36 / $151.36	Facility		$144.54	$151.36	$151.36
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $141.25 / $181.97	Professional		$114.82	$141.25	$181.97
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $190.55 / $331.13	Facility		$114.82	$190.55	$331.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $144.54 / $239.88	Professional		$104.71	$144.54	$239.88
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $208.93	Professional		$95.50	$141.25	$208.93
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $1,348.96	Facility		$1,258.93	$1,258.93	$1,348.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $144.54 / $213.80	Professional		$89.13	$144.54	$213.80
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $131.83 / $169.82	Professional		$26.92	$131.83	$169.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $257.04	Professional		$100.00	$151.36	$257.04

Pennsylvania rates for HCPCS 90791