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 $38.90 / $38.90 / $72.44	Facility	26	$38.90	$38.90	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $158.49 / $281.84	Professional		$112.20	$158.49	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $47.86 / $114.82	Professional	26	$36.31	$47.86	$114.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $91.20 / $165.96	Professional	TC	$57.54	$91.20	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $154.88 / $234.42	Professional		$151.36	$154.88	$234.42
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Professional	26	$81.28	$81.28	$81.28
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $169.82	Professional		$123.03	$123.03	$169.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $158.49	Professional		$100.00	$151.36	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $43.65 / $79.43	Professional	26	$36.31	$43.65	$79.43
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $223.87 / $229.09	Professional	50	$141.25	$223.87	$229.09
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $109.65 / $114.82	Professional	TC	$64.57	$109.65	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $257.04	Professional		$102.33	$147.91	$257.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $51.29 / $91.20	Professional	26	$38.02	$51.29	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $97.72 / $169.82	Professional	TC	$60.26	$97.72	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $275.42	Professional		$91.20	$169.82	$275.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $67.61	Professional	26	$41.69	$58.88	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $173.78 / $208.93	Professional	TC	$128.82	$173.78	$208.93
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $177.83 / $331.13	Professional		$134.90	$177.83	$331.13
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $51.29 / $91.20	Professional	26	$42.66	$51.29	$91.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $123.03 / $234.42	Professional	TC	$87.10	$123.03	$234.42
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $50.12 / $51.29	Professional	26	$50.12	$50.12	$51.29
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $123.03 / $141.25	Professional		$109.65	$123.03	$141.25
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $72.44	Facility	26	$38.90	$38.90	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $288.40	Professional		$102.33	$138.04	$288.40
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $45.71 / $91.20	Professional	26	$36.31	$45.71	$91.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $91.20 / $194.98	Professional	TC	$64.57	$91.20	$194.98
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $169.82 / $316.23	Professional		$147.91	$169.82	$316.23
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $54.95	Facility	26	$40.74	$54.95	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $128.82 / $218.78	Professional		$40.74	$128.82	$218.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $40.74 / $54.95	Professional	26	$39.81	$40.74	$54.95
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $89.13 / $100.00	Professional	TC	$79.43	$89.13	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $239.88	Professional		$89.13	$131.83	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $48.98 / $83.18	Professional	26	$34.67	$48.98	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $83.18 / $177.83	Professional	TC	$54.95	$83.18	$177.83

Pennsylvania rates for HCPCS 92235