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 $20.89 / $25.70 / $48.98	Professional		$20.89	$25.70	$48.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $28.84	Professional	26	$16.98	$20.89	$28.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $25.70	Professional	TC	$3.02	$3.98	$25.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $25.70 / $45.71	Professional		$25.12	$25.70	$45.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.38 / $39.81	Professional	26	$20.89	$21.38	$39.81
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.17 / $4.27 / $7.24	Professional	TC	$4.17	$4.27	$7.24
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $23.44 / $33.88	Facility	26	$5.01	$23.44	$33.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $34.67 / $67.61	Professional		$21.38	$34.67	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $23.44 / $37.15	Professional	26	$17.78	$23.44	$37.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.39 / $6.31 / $41.69	Professional	TC	$3.39	$6.31	$41.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $34.67 / $52.48	Professional		$28.84	$34.67	$52.48
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $28.84 / $43.65	Professional	26	$23.99	$28.84	$43.65
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.25 / $5.89 / $8.71	Professional	TC	$5.25	$5.89	$8.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $34.67 / $61.66	Professional		$23.99	$34.67	$61.66
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $22.91 / $39.81	Professional	26	$19.95	$22.91	$39.81
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.98 / $6.03 / $37.15	Professional	TC	$3.98	$6.03	$37.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $25.70 / $26.30	Professional		$23.99	$25.70	$26.30
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $29.51	Professional	26	$28.84	$28.84	$29.51
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $26.30 / $52.48	Professional		$26.30	$26.30	$52.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $25.70 / $48.98	Professional		$20.89	$25.70	$48.98
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $25.12	Professional	26	$16.98	$20.89	$25.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $3.98 / $26.30	Professional	TC	$3.02	$3.98	$26.30
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $44.67 / $54.95	Professional		$41.69	$44.67	$54.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $53.70 / $309.03	Professional		$11.48	$53.70	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional	TC	$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $26.30 / $53.70	Professional		$18.62	$26.30	$53.70
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $20.42 / $34.67	Professional	26	$14.79	$20.42	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.16 / $4.27 / $30.90	Professional	TC	$3.16	$4.27	$30.90

Pennsylvania rates for HCPCS 92541