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 $83.18 / $83.18 / $83.18	Facility	$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $89.13 / $125.89	Professional	$79.43	$89.13	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $91.20 / $151.36	Professional	$87.10	$91.20	$151.36
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Facility	$144.54	$144.54	$144.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $199.53	Professional	$83.18	$109.65	$199.53
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	$169.82	$169.82	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $107.15 / $158.49	Professional	$77.62	$107.15	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $100.00 / $147.91	Professional	$77.62	$100.00	$147.91
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $89.13 / $120.23	Professional	$79.43	$89.13	$120.23
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility	$147.91	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $147.91 / $213.80	Professional	$131.83	$147.91	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $169.82	Facility	$85.11	$85.11	$169.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $186.21	Professional	$85.11	$112.20	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $165.96	Professional	$74.13	$97.72	$165.96

Pennsylvania rates for HCPCS 90997