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 $34.67 / $45.71 / $223.87	Facility	26	$34.67	$45.71	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $70.79 / $138.04	Professional		$51.29	$70.79	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $34.67 / $89.13	Professional	26	$28.84	$34.67	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $34.67 / $60.26	Professional	TC	$19.05	$34.67	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $67.61 / $102.33	Professional		$57.54	$67.61	$102.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $32.36 / $54.95	Professional	26	$27.54	$32.36	$54.95
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.88 / $48.98	Professional	TC	$28.18	$33.88	$48.98
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $74.13 / $131.83	Professional		$57.54	$74.13	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $41.69 / $70.79	Professional	26	$30.20	$41.69	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $33.88 / $70.79	Professional	TC	$19.95	$33.88	$70.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $102.33 / $134.90	Professional		$79.43	$102.33	$134.90
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $45.71 / $60.26	Professional	26	$36.31	$45.71	$60.26
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $57.54 / $74.13	Professional	TC	$43.65	$57.54	$74.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $125.89	Professional		$57.54	$79.43	$125.89
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $66.07	Professional	26	$31.62	$41.69	$66.07
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $39.81 / $61.66	Professional	TC	$19.95	$39.81	$61.66
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $40.74 / $42.66	Professional	26	$39.81	$40.74	$42.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $45.71 / $45.71	Facility	26	$34.67	$45.71	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $77.62 / $154.88	Professional		$52.48	$77.62	$154.88
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $37.15 / $74.13	Professional	26	$28.84	$37.15	$74.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $38.90 / $79.43	Professional	TC	$19.50	$38.90	$79.43
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $97.72 / $181.97	Professional		$75.86	$97.72	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $37.15 / $37.15	Facility	26	$30.20	$37.15	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $57.54 / $107.15	Professional		$16.98	$57.54	$107.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $30.20 / $37.15	Professional	26	$29.51	$30.20	$37.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $34.67 / $38.90	Professional	TC	$19.95	$34.67	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $114.82	Professional		$52.48	$69.18	$114.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.02 / $61.66	Professional	26	$28.18	$38.02	$61.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $31.62 / $56.23	Professional	TC	$20.89	$31.62	$56.23

Pennsylvania rates for HCPCS 93279