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 Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $95.50	Professional		$26.92	$38.02	$95.50
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $28.18	Professional	26	$12.02	$15.14	$28.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $16.98 / $34.67	Professional	TC	$12.88	$16.98	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $32.36	Professional		$27.54	$27.54	$32.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Professional	26	$30.20	$30.20	$30.20
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $61.66	Professional		$34.67	$34.67	$61.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.88 / $33.88	Professional		$32.36	$33.88	$33.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $16.22 / $30.90	Professional	26	$15.85	$16.22	$30.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $17.38 / $31.62	Professional	TC	$16.98	$17.38	$31.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.78 / $25.70	Facility	26	$3.80	$17.78	$25.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $44.67 / $75.86	Professional		$26.30	$44.67	$75.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $18.62 / $28.84	Professional	26	$12.59	$18.62	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $23.44 / $42.66	Professional	TC	$13.80	$23.44	$42.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $70.79	Professional		$39.81	$46.77	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $22.39 / $33.11	Professional	26	$18.62	$22.39	$33.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $24.55 / $37.15	Professional	TC	$21.88	$24.55	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $44.67 / $69.18	Professional		$31.62	$44.67	$69.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $18.62 / $33.88	Professional	26	$15.14	$18.62	$33.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $23.44 / $38.02	Professional	TC	$16.60	$23.44	$38.02
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $40.74 / $41.69	Professional		$38.02	$40.74	$41.69
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $57.54	Professional		$34.67	$34.67	$57.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.11 / $53.70	Professional		$25.70	$33.11	$53.70
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $19.95	Professional	26	$12.02	$15.14	$19.95
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $16.98 / $34.67	Professional	TC	$12.88	$16.98	$34.67
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $74.13 / $74.13	Professional		$53.70	$74.13	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $31.62 / $87.10	Professional		$12.02	$31.62	$87.10
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.49 / $19.05	Professional	26	$15.14	$15.49	$19.05
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $16.60 / $58.88	Professional	TC	$16.22	$16.60	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $34.67 / $57.54	Professional		$22.91	$34.67	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $16.22 / $25.12	Professional	26	$10.47	$16.22	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $17.38 / $31.62	Professional	TC	$12.02	$17.38	$31.62

Pennsylvania rates for HCPCS 92081