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 $128.82 / $223.87 / $707.95	Facility		$128.82	$223.87	$707.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $338.84	Professional		$125.89	$169.82	$338.84
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $173.78 / $354.81 / $354.81	Professional	25	$173.78	$354.81	$354.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $162.18 / $208.93	Professional		$128.82	$162.18	$208.93
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $173.78 / $199.53	Professional		$169.82	$173.78	$199.53
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $208.93 / $331.13	Professional		$194.98	$208.93	$331.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $173.78 / $302.00	Professional		$75.86	$173.78	$302.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $60.26	Facility		$54.95	$54.95	$60.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $138.04 / $181.97	Professional		$91.20	$138.04	$181.97
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $162.18	Facility		$154.88	$154.88	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $199.53 / $338.84	Professional		$131.83	$199.53	$338.84
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $223.87 / $338.84	Facility		$194.98	$223.87	$338.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $208.93 / $239.88	Professional		$181.97	$208.93	$239.88
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $173.78 / $588.84	Facility		$144.54	$173.78	$588.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $173.78 / $199.53	Professional		$169.82	$173.78	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $380.19	Facility		$128.82	$173.78	$380.19
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $275.42	Professional		$125.89	$165.96	$275.42
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $169.82 / $234.42	Professional		$89.13	$169.82	$234.42
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $1,202.26	Facility		$741.31	$741.31	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $154.88 / $234.42	Professional		$89.13	$154.88	$234.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $128.82 / $190.55	Professional		$72.44	$128.82	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $169.82 / $288.40	Professional		$104.71	$169.82	$288.40

Pennsylvania rates for HCPCS 90792