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 $47.86 / $229.09 / $562.34	Facility		$47.86	$229.09	$562.34
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $28.18 / $85.11	Facility	26	$19.05	$28.18	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $75.86 / $165.96	Professional		$41.69	$75.86	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $112.20	Professional	26	$28.18	$38.02	$112.20
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $147.91 / $331.13	Professional	50	$54.95	$147.91	$331.13
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Professional	52	$22.39	$22.39	$22.39
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $23.99 / $70.79	Professional	TC	$15.49	$23.99	$70.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $45.71 / $70.79	Professional		$43.65	$45.71	$70.79
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $28.84 / $38.02	Professional	26	$26.92	$28.84	$38.02
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	50	$107.15	$107.15	$107.15
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	TC	$16.60	$16.60	$16.60
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $56.23 / $97.72	Professional		$50.12	$56.23	$97.72
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $34.67	Professional	26	$30.20	$30.90	$34.67
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $141.25	Professional		$45.71	$45.71	$141.25
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $30.90 / $57.54	Professional	26	$29.51	$30.90	$57.54
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $47.86 / $208.93	Professional	50	$45.71	$47.86	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.98 / $89.13	Professional	TC	$16.60	$16.98	$89.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $47.86	Facility	26	$7.24	$33.88	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $89.13 / $141.25	Professional		$43.65	$89.13	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $58.88	Professional	26	$26.30	$34.67	$58.88
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $56.23 / $87.10	Professional	TC	$15.85	$56.23	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $70.79 / $100.00	Professional		$57.54	$70.79	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $43.65 / $63.10	Professional	26	$35.48	$43.65	$63.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $37.15	Professional	TC	$21.88	$26.92	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $102.33	Professional		$45.71	$67.61	$102.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $37.15 / $53.70	Professional	26	$28.84	$37.15	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $24.55 / $61.66	Professional	TC	$16.22	$24.55	$61.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $524.81 / $588.84	Facility		$128.82	$524.81	$588.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $89.13	Professional		$56.23	$56.23	$89.13
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $36.31	Professional	26	$30.20	$30.90	$36.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $46.77 / $144.54	Facility		$43.65	$46.77	$144.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $28.18 / $85.11	Facility	26	$26.92	$28.18	$85.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $141.25	Professional		$41.69	$64.57	$141.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $32.36 / $66.07	Professional	26	$25.12	$32.36	$66.07
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $28.18 / $85.11	Professional	TC	$15.85	$28.18	$85.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $269.15 / $302.00	Facility		$213.80	$269.15	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $213.80	Professional		$85.11	$128.82	$213.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $31.62 / $95.50	Facility		$15.85	$31.62	$95.50
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $30.20	Facility	26	$29.51	$29.51	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $31.62 / $91.20	Professional		$15.85	$31.62	$91.20
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $29.51 / $30.90	Professional	26	$28.84	$29.51	$30.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $16.22 / $46.77	Professional	TC	$15.85	$16.22	$46.77
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $389.05 / $446.68	Facility		$204.17	$389.05	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $125.89	Professional		$51.29	$72.44	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.11 / $60.26	Professional	26	$24.55	$33.11	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $35.48 / $72.44	Professional	TC	$21.88	$35.48	$72.44

Pennsylvania rates for HCPCS 92136