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 $46.77 / $112.20 / $302.00	Facility	26	$46.77	$112.20	$302.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $199.53	Professional		$70.79	$89.13	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $46.77 / $125.89	Professional	26	$38.02	$46.77	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $40.74 / $74.13	Professional	TC	$25.70	$40.74	$74.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $125.89	Professional		$70.79	$83.18	$125.89
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $41.69 / $75.86	Professional	26	$35.48	$41.69	$75.86
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $40.74 / $57.54	Professional	TC	$34.67	$40.74	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $45.71 / $66.07	Facility	26	$10.00	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $95.50 / $165.96	Professional		$74.13	$95.50	$165.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $56.23 / $95.50	Professional	26	$39.81	$56.23	$95.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $40.74 / $83.18	Professional	TC	$26.92	$40.74	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $128.82 / $165.96	Professional		$97.72	$128.82	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $60.26 / $79.43	Professional	26	$47.86	$60.26	$79.43
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $67.61 / $87.10	Professional	TC	$51.29	$67.61	$87.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $102.33 / $158.49	Professional		$77.62	$102.33	$158.49
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $54.95 / $93.33	Professional	26	$41.69	$54.95	$93.33
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $46.77 / $70.79	Professional	TC	$26.92	$46.77	$70.79
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $54.95	Professional	26	$41.69	$41.69	$54.95
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $46.77 / $141.25	Facility	26	$38.90	$46.77	$141.25
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $97.72 / $186.21	Professional		$70.79	$97.72	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $50.12 / $97.72	Professional	26	$38.02	$50.12	$97.72
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $45.71 / $85.11	Professional	TC	$26.30	$45.71	$85.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $131.83 / $229.09	Professional		$102.33	$131.83	$229.09
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $52.48 / $52.48	Facility	26	$40.74	$52.48	$52.48
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $51.29 / $309.03	Professional		$11.75	$51.29	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $41.69 / $52.48	Professional	26	$40.74	$41.69	$52.48
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $40.74 / $45.71	Professional	TC	$26.30	$40.74	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $144.54	Professional		$66.07	$89.13	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $83.18	Professional	26	$37.15	$51.29	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $38.90 / $66.07	Professional	TC	$25.70	$38.90	$66.07

Pennsylvania rates for HCPCS 93281