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 $112.20 / $199.53 / $354.81	Facility		$112.20	$199.53	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $138.04 / $269.15	Professional		$85.11	$138.04	$269.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Professional	25	$199.53	$199.53	$199.53
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $162.18	Professional		$100.00	$123.03	$162.18
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $134.90 / $151.36	Professional		$102.33	$134.90	$151.36
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $190.55 / $263.03	Professional		$151.36	$190.55	$263.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $234.42	Facility		$60.26	$60.26	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $134.90 / $218.78	Professional		$77.62	$134.90	$218.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $104.71	Facility		$66.07	$66.07	$104.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $67.61 / $104.71	Professional		$66.07	$67.61	$104.71
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $165.96 / $288.40	Professional		$123.03	$165.96	$288.40
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $147.91 / $194.98	Facility		$89.13	$147.91	$194.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $138.04 / $186.21	Professional		$117.49	$138.04	$186.21
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $173.78	Facility		$138.04	$138.04	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $158.49	Professional		$102.33	$138.04	$158.49
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $151.36 / $398.11	Facility		$112.20	$151.36	$398.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $208.93	Professional		$85.11	$131.83	$208.93
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $177.83	Professional		$83.18	$123.03	$177.83
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $181.97	Professional		$83.18	$125.89	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $104.71 / $162.18	Professional		$26.92	$104.71	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $138.04 / $234.42	Professional		$93.33	$138.04	$234.42

Pennsylvania rates for HCPCS 90837