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 $190.55 / $190.55 / $190.55	Facility	$190.55	$190.55	$190.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $436.52	Professional	$165.96	$213.80	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $199.53 / $275.42	Professional	$177.83	$199.53	$275.42
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $263.03	Professional	$177.83	$208.93	$263.03
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $208.93 / $338.84	Professional	$204.17	$208.93	$338.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Facility	$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $218.78 / $380.19	Professional	$169.82	$218.78	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	$478.63	$478.63	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $302.00 / $457.09	Professional	$218.78	$302.00	$457.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $363.08	Professional	$173.78	$234.42	$363.08
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $239.88 / $323.59	Professional	$223.87	$239.88	$323.59
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $208.93 / $234.42	Professional	$177.83	$208.93	$234.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $436.52	Professional	$165.96	$213.80	$436.52
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Facility	$194.98	$194.98	$194.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $323.59 / $407.38	Professional	$194.98	$323.59	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Facility	$194.98	$194.98	$194.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $194.98 / $416.87	Professional	$89.13	$194.98	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $199.53 / $346.74	Professional	$151.36	$199.53	$346.74

Pennsylvania rates for HCPCS 90962