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 Typical Low / Median / Typical High $114.82 / $114.82 / $151.36	Facility		$114.82	$114.82	$151.36
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $117.49 / $147.91 / $151.36	Facility	25	$117.49	$147.91	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $158.49 / $371.54	Professional		$85.11	$158.49	$371.54
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $138.04 / $186.21 / $512.86	Professional	25	$138.04	$186.21	$512.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	25	$134.90	$134.90	$134.90
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $269.15	Professional		$138.04	$138.04	$269.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $204.17 / $281.84	Professional		$128.82	$204.17	$281.84
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $169.82 / $281.84	Professional	50	$141.25	$169.82	$281.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $128.82 / $208.93	Professional		$79.43	$128.82	$208.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $70.79 / $177.83	Professional		$39.81	$70.79	$177.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $147.91 / $245.47	Professional		$120.23	$147.91	$245.47
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $134.90 / $173.78	Professional		$125.89	$134.90	$173.78
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $125.89 / $134.90 / $134.90	Professional	25	$125.89	$134.90	$134.90
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $269.15	Professional		$138.04	$138.04	$269.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $123.03 / $190.55	Professional		$79.43	$123.03	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $295.12	Professional		$128.82	$128.82	$295.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $91.20 / $154.88	Professional		$26.30	$91.20	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $107.15 / $186.21	Professional		$54.95	$107.15	$186.21

Pennsylvania rates for HCPCS 92004