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 $52.48 / $131.83 / $575.44	Facility		$52.48	$131.83	$575.44
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $36.31 / $58.88	Facility	26	$19.05	$36.31	$58.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $162.18 / $229.09	Facility	TC	$30.20	$162.18	$229.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $74.13 / $144.54	Professional		$33.88	$74.13	$144.54
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $70.79 / $70.79	Professional	25	$50.12	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $29.51 / $60.26	Professional	26	$18.20	$29.51	$60.26
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $234.42 / $338.84	Professional	50	$95.50	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $41.69 / $91.20	Professional	52	$38.02	$41.69	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $23.99 / $93.33	Professional	TC	$14.13	$23.99	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $35.48 / $46.77	Professional		$33.88	$35.48	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $38.90 / $39.81	Professional	26	$19.05	$38.90	$39.81
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $15.85 / $23.99	Professional	TC	$15.85	$15.85	$23.99
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $141.25 / $3,715.35	Facility		$50.12	$141.25	$3,715.35
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $61.66 / $70.79	Professional		$42.66	$61.66	$70.79
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 $38.02 / $39.81 / $123.03	Professional		$38.02	$39.81	$123.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $22.39 / $45.71	Professional	26	$21.38	$22.39	$45.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.98 / $81.28	Professional	TC	$16.60	$16.98	$81.28
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $74.13 / $123.03	Professional		$35.48	$74.13	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $26.92 / $45.71	Professional	26	$18.62	$26.92	$45.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $50.12 / $79.43	Professional	TC	$15.49	$50.12	$79.43
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $61.66	Professional		$38.90	$52.48	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $28.84 / $33.11	Professional	26	$20.42	$28.84	$33.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $24.55 / $28.84	Professional	TC	$18.20	$24.55	$28.84
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $69.18 / $69.18 / $69.18	Facility	TC	$69.18	$69.18	$69.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $93.33	Professional		$35.48	$54.95	$93.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.30 / $43.65	Professional	26	$20.42	$26.30	$43.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $24.55 / $53.70	Professional	TC	$15.49	$24.55	$53.70
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $316.23 / $588.84	Facility		$245.47	$316.23	$588.84
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	TC	$186.21	$186.21	$186.21
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $33.88	Professional	26	$25.12	$25.12	$33.88
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $56.23 / $57.54	Professional	TC	$56.23	$56.23	$57.54
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $112.20 / $257.04	Facility		$56.23	$112.20	$257.04
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $67.61	Professional		$61.66	$61.66	$67.61
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $102.33	Professional	TC	$38.90	$38.90	$102.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $66.07 / $107.15	Facility		$36.31	$66.07	$107.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $36.31 / $58.88	Facility	26	$19.05	$36.31	$58.88
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.85 / $30.20 / $47.86	Facility	TC	$15.85	$30.20	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $117.49	Professional		$32.36	$51.29	$117.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $24.55 / $45.71	Professional	26	$18.20	$24.55	$45.71
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $23.99 / $79.43	Professional	TC	$14.13	$23.99	$79.43
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $213.80 / $281.84	Facility		$204.17	$213.80	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $56.23 / $173.78	Professional		$50.12	$56.23	$173.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $38.90 / $77.62	Facility		$13.49	$38.90	$77.62
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $20.42 / $23.99	Facility	26	$20.42	$20.42	$23.99
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.49 / $15.49 / $52.48	Facility	TC	$15.49	$15.49	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $35.48 / $83.18	Professional		$15.14	$35.48	$83.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $20.42 / $23.99	Professional	26	$19.95	$20.42	$23.99
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $15.49 / $52.48	Professional	TC	$15.14	$15.49	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $389.05 / $446.68	Facility		$239.88	$389.05	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $56.23 / $97.72	Professional		$37.15	$56.23	$97.72
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $24.55 / $42.66	Professional	26	$16.98	$24.55	$42.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $28.18 / $61.66	Professional	TC	$16.98	$28.18	$61.66

Pennsylvania rates for HCPCS 92250