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 $93.33 / $117.49 / $154.88	Professional		$93.33	$117.49	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.14 / $29.51	Professional	26	$12.88	$15.14	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $102.33 / $131.83	Professional	TC	$79.43	$102.33	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional		$128.82	$128.82	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $131.83 / $186.21	Professional		$125.89	$131.83	$186.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.14 / $25.70	Professional	26	$14.79	$15.14	$25.70
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $114.82 / $162.18	Professional	TC	$112.20	$114.82	$162.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.55 / $16.60 / $23.99	Facility	26	$3.55	$16.60	$23.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $204.17	Professional		$85.11	$123.03	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.60 / $26.30	Professional	26	$12.59	$16.60	$26.30
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $107.15 / $181.97	Professional	TC	$69.18	$107.15	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $186.21 / $275.42	Professional		$162.18	$186.21	$275.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $20.89 / $30.90	Professional	26	$17.38	$20.89	$30.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $165.96 / $245.47	Professional	TC	$144.54	$165.96	$245.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $128.82 / $213.80	Professional		$89.13	$128.82	$213.80
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $16.60 / $28.18	Professional	26	$14.13	$16.60	$28.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $114.82 / $190.55	Professional	TC	$70.79	$114.82	$190.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $162.18 / $165.96	Professional		$151.36	$162.18	$165.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	26	$25.12	$25.12	$25.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $251.19	Professional		$125.89	$125.89	$251.19
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $117.49 / $151.36	Professional		$93.33	$117.49	$151.36
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $18.20	Professional	26	$12.02	$15.14	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $102.33 / $134.90	Professional	TC	$77.62	$102.33	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $35.48 / $239.88	Professional		$33.88	$35.48	$239.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $44.67 / $131.83	Professional		$13.80	$44.67	$131.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $14.45 / $22.91	Professional	26	$14.13	$14.45	$22.91
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $104.71 / $117.49	Professional	TC	$74.13	$104.71	$117.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $104.71 / $177.83	Professional		$72.44	$104.71	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.45 / $25.12	Professional	26	$10.47	$14.45	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $91.20 / $165.96	Professional	TC	$64.57	$91.20	$165.96

Pennsylvania rates for HCPCS 92546