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 $21.88 / $134.90 / $245.47	Facility		$21.88	$134.90	$245.47
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Facility	26	$2.00	$2.00	$2.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $81.28	Professional		$18.62	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.16 / $15.14	Professional	26	$2.00	$3.16	$15.14
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.60 / $21.88 / $36.31	Professional	52	$16.60	$21.88	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $21.88 / $39.81	Professional	TC	$15.14	$21.88	$39.81
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.88 / $22.39	Professional		$21.38	$21.88	$22.39
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $5.75 / $5.75	Professional	26	$5.75	$5.75	$5.75
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 $22.91 / $22.91 / $74.13	Professional		$22.91	$22.91	$74.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $3.09 / $13.18	Professional	26	$3.02	$3.09	$13.18
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.88 / $22.91 / $51.29	Professional	50	$21.88	$22.91	$51.29
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.95 / $40.74	Professional	TC	$19.05	$19.95	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $35.48 / $58.88	Professional		$20.42	$35.48	$58.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $5.37 / $14.13	Professional	26	$2.82	$5.37	$14.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $29.51 / $46.77	Professional	TC	$17.78	$29.51	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $34.67 / $40.74	Professional		$25.70	$34.67	$40.74
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.24 / $4.37 / $5.25	Professional	26	$3.24	$4.37	$5.25
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $30.20 / $36.31	Professional	TC	$22.39	$30.20	$36.31
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $38.02 / $63.10	Professional		$23.99	$38.02	$63.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.09 / $5.50 / $14.79	Professional	26	$3.09	$5.50	$14.79
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $47.86	Professional	TC	$20.89	$31.62	$47.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $177.83 / $199.53	Facility		$77.62	$177.83	$199.53
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Facility	26	$2.00	$2.00	$2.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $26.92 / $53.70	Professional		$18.20	$26.92	$53.70
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.24 / $7.76	Professional	26	$2.00	$3.24	$7.76
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $22.91 / $46.77	Professional	TC	$15.85	$22.91	$46.77
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $85.11 / $85.11	Professional		$37.15	$85.11	$85.11
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.75 / $21.88 / $54.95	Facility		$5.75	$21.88	$54.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $14.13 / $14.13	Facility	26	$2.95	$14.13	$14.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $26.92 / $75.86	Professional		$5.75	$26.92	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $2.95 / $14.13	Professional	26	$2.82	$2.95	$14.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $19.05 / $38.02	Professional	TC	$18.62	$19.05	$38.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $109.65 / $125.89	Facility		$66.07	$109.65	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $29.51 / $57.54	Professional		$19.05	$29.51	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $4.07 / $13.18	Professional	26	$2.69	$4.07	$13.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $24.55 / $42.66	Professional	TC	$16.22	$24.55	$42.66

Pennsylvania rates for HCPCS 92285