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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $616.60	Professional		$218.78	$309.03	$616.60
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $104.71 / $104.71 / $128.82	Professional	52	$104.71	$104.71	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $302.00 / $389.05	Professional		$275.42	$302.00	$389.05
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $389.05	Professional		$257.04	$302.00	$389.05
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $302.00 / $446.68	Professional		$275.42	$302.00	$446.68
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $302.00 / $537.03	Professional		$234.42	$302.00	$537.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $436.52 / $660.69	Professional		$316.23	$436.52	$660.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $338.84 / $524.81	Professional		$239.88	$338.84	$524.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $354.81 / $398.11	Professional		$323.59	$354.81	$398.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $389.05	Professional		$257.04	$302.00	$389.05
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $616.60	Professional		$218.78	$309.03	$616.60
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $457.09 / $588.84	Professional		$263.03	$457.09	$588.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $288.40 / $295.12	Professional		$263.03	$288.40	$295.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $263.03 / $467.74	Professional		$204.17	$263.03	$467.74

Pennsylvania rates for HCPCS 90966