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 $81.28 / $147.91 / $190.55	Facility		$81.28	$147.91	$190.55
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $134.90 / $141.25 / $204.17	Facility	25	$134.90	$141.25	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $87.10 / $190.55	Professional		$43.65	$87.10	$190.55
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $72.44 / $97.72 / $154.88	Professional	25	$72.44	$97.72	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $89.13	Professional		$69.18	$69.18	$89.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $158.49	Professional		$83.18	$83.18	$158.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $141.25 / $154.88	Professional		$79.43	$141.25	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $72.44 / $123.03	Professional		$42.66	$72.44	$123.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $50.12 / $109.65	Professional		$39.81	$50.12	$109.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $89.13 / $147.91	Professional		$60.26	$89.13	$147.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $81.28 / $95.50	Professional		$75.86	$81.28	$95.50
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $75.86 / $81.28 / $81.28	Professional	25	$75.86	$81.28	$81.28
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $158.49	Professional		$83.18	$83.18	$158.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $70.79 / $112.20	Professional		$42.66	$70.79	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $63.10 / $173.78	Professional		$60.26	$63.10	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $63.10 / $89.13	Professional		$21.88	$63.10	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $60.26 / $107.15	Professional		$34.67	$60.26	$107.15

Pennsylvania rates for HCPCS 92012