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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $97.72	Facility	$97.72	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $107.15 / $239.88	Professional	$93.33	$107.15	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $89.13 / $154.88	Professional	$87.10	$89.13	$154.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $104.71 / $199.53	Professional	$102.33	$104.71	$199.53
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $229.09	Professional	$95.50	$128.82	$229.09
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	$199.53	$199.53	$199.53
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $125.89 / $186.21	Professional	$89.13	$125.89	$186.21
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $501.19 / $724.44	Facility	$199.53	$501.19	$724.44
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $117.49 / $173.78	Professional	$91.20	$117.49	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $933.25	Facility	$912.01	$912.01	$933.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $123.03 / $165.96	Professional	$114.82	$123.03	$165.96
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $109.65 / $239.88	Professional	$93.33	$109.65	$239.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	$169.82	$169.82	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $169.82 / $239.88	Professional	$154.88	$169.82	$239.88
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $169.82 / $263.03	Facility	$151.36	$169.82	$263.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $102.33 / $263.03	Professional	$51.29	$102.33	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $194.98	Professional	$85.11	$112.20	$194.98

Pennsylvania rates for HCPCS 90937