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 26 Typical Low / Median / Typical High $10.96 / $30.90 / $33.11	Facility	26	$10.96	$30.90	$33.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $165.96	Professional		$28.18	$39.81	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.14 / $44.67	Professional	26	$10.00	$15.14	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $21.88 / $37.15	Professional	TC	$18.20	$21.88	$37.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $44.67	Professional		$32.36	$38.02	$44.67
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $13.18 / $21.38	Professional	26	$11.22	$13.18	$21.38
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $45.71	Professional		$33.88	$33.88	$45.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $30.90 / $70.79	Professional		$29.51	$30.90	$70.79
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.72 / $26.92	Professional	26	$10.47	$10.72	$26.92
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.95 / $44.67	Professional	TC	$19.05	$19.95	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $40.74 / $70.79	Professional		$28.18	$40.74	$70.79
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $16.22 / $26.92	Professional	26	$10.47	$16.22	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.70 / $45.71	Professional	TC	$19.05	$25.70	$45.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $57.54	Professional		$35.48	$48.98	$57.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $18.20	Professional	26	$11.22	$15.49	$18.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $33.11 / $39.81	Professional	TC	$24.55	$33.11	$39.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $39.81 / $69.18	Professional		$30.20	$39.81	$69.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.49 / $23.44	Professional	26	$11.48	$15.49	$23.44
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $23.99 / $45.71	Professional	TC	$18.62	$23.99	$45.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $39.81 / $39.81	Professional		$38.90	$39.81	$39.81
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $11.75 / $13.49	Professional	26	$11.75	$11.75	$13.49
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $44.67	Professional		$33.88	$33.88	$44.67
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $30.90 / $33.11	Facility	26	$10.96	$30.90	$33.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.02 / $74.13	Professional		$28.18	$38.02	$74.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.13 / $26.30	Professional	26	$10.00	$14.13	$26.30
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $23.99 / $50.12	Professional	TC	$18.20	$23.99	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $64.57 / $134.90	Professional		$51.29	$64.57	$134.90
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.23 / $10.23 / $15.85	Facility	26	$10.23	$10.23	$15.85
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $26.30 / $75.86	Professional		$5.75	$26.30	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.23 / $10.72	Professional	26	$10.00	$10.23	$10.72
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $19.05 / $20.89	Professional	TC	$18.62	$19.05	$20.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $74.13	Professional		$30.90	$39.81	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.14 / $28.18	Professional	26	$10.72	$15.14	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.12 / $44.67	Professional	TC	$19.05	$25.12	$44.67

Pennsylvania rates for HCPCS 91200