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 $40.74 / $97.72 / $263.03	Facility	26	$40.74	$97.72	$263.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $74.13 / $177.83	Professional		$58.88	$74.13	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $39.81 / $72.44	Professional	26	$32.36	$39.81	$72.44
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $70.79 / $112.20	Professional		$60.26	$70.79	$112.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $69.18	Professional	26	$30.90	$36.31	$69.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $39.81 / $57.54	Facility	26	$8.51	$39.81	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $81.28 / $144.54	Professional		$64.57	$81.28	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $47.86 / $81.28	Professional	26	$34.67	$47.86	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $107.15 / $141.25	Professional		$83.18	$107.15	$141.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $52.48 / $69.18	Professional	26	$41.69	$52.48	$69.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $131.83	Professional		$63.10	$85.11	$131.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $45.71 / $70.79	Professional	26	$36.31	$45.71	$70.79
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $61.66	Professional	26	$47.86	$47.86	$61.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $77.62 / $158.49	Professional		$58.88	$77.62	$158.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $40.74 / $81.28	Professional	26	$32.36	$40.74	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $104.71 / $190.55	Professional		$69.18	$104.71	$190.55
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $42.66 / $42.66	Facility	26	$35.48	$42.66	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $28.18 / $67.61	Professional		$9.77	$28.18	$67.61
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $35.48 / $42.66	Professional	26	$34.67	$35.48	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $79.43 / $128.82	Professional		$58.88	$79.43	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $74.13	Professional	26	$33.11	$46.77	$74.13

Pennsylvania rates for HCPCS 93261