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 $35.48 / $54.95 / $269.15	Facility	26	$35.48	$54.95	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $186.21	Professional		$61.66	$89.13	$186.21
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	25	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $41.69 / $120.23	Professional	26	$33.88	$41.69	$120.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $41.69 / $72.44	Professional	TC	$22.39	$41.69	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $117.49 / $147.91	Professional		$109.65	$117.49	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $72.44	Professional	26	$51.29	$51.29	$72.44
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $87.10	Professional		$81.28	$81.28	$87.10
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $120.23	Professional		$66.07	$77.62	$120.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $38.02 / $64.57	Professional	26	$31.62	$38.02	$64.57
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $39.81 / $57.54	Professional	TC	$31.62	$39.81	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $85.11 / $154.88	Professional		$67.61	$85.11	$154.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $50.12 / $83.18	Professional	26	$36.31	$50.12	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $38.90 / $81.28	Professional	TC	$23.44	$38.90	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $158.49	Professional		$93.33	$120.23	$158.49
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $72.44	Professional	26	$42.66	$54.95	$72.44
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $66.07 / $87.10	Professional	TC	$50.12	$66.07	$87.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $93.33 / $147.91	Professional		$69.18	$93.33	$147.91
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $48.98 / $79.43	Professional	26	$38.02	$48.98	$79.43
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $45.71 / $70.79	Professional	TC	$22.91	$45.71	$70.79
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $426.58	Professional	26	$37.15	$48.98	$426.58
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $114.82	Professional		$81.28	$81.28	$114.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $35.48 / $53.70 / $125.89	Facility	26	$35.48	$53.70	$125.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $91.20 / $181.97	Professional		$63.10	$91.20	$181.97
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $45.71 / $89.13	Professional	26	$34.67	$45.71	$89.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $46.77 / $87.10	Professional	TC	$22.39	$46.77	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $218.78	Professional		$89.13	$112.20	$218.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $45.71 / $45.71	Facility	26	$36.31	$45.71	$45.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $61.66 / $263.03	Professional		$24.55	$61.66	$263.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $36.31 / $45.71	Professional	26	$35.48	$36.31	$45.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $40.74 / $44.67	Professional	TC	$22.39	$40.74	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $134.90	Professional		$61.66	$79.43	$134.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $74.13	Professional	26	$33.88	$45.71	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $37.15 / $63.10	Professional	TC	$23.44	$37.15	$63.10

Pennsylvania rates for HCPCS 93280