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 $67.61 / $89.13 / $436.52	Facility	26	$67.61	$89.13	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $257.04	Professional		$93.33	$120.23	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $70.79 / $177.83	Professional	26	$56.23	$70.79	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $44.67 / $79.43	Professional	TC	$30.20	$44.67	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $114.82	Professional	26	$87.10	$87.10	$114.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $114.82	Professional		$109.65	$109.65	$114.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $107.15 / $169.82	Professional		$91.20	$107.15	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $61.66 / $107.15	Professional	26	$52.48	$61.66	$107.15
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $44.67 / $63.10	Professional	TC	$37.15	$44.67	$63.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $218.78	Professional		$95.50	$125.89	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $138.04	Professional	26	$58.88	$81.28	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $44.67 / $89.13	Professional	TC	$30.20	$44.67	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $208.93	Professional		$123.03	$158.49	$208.93
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $89.13 / $114.82	Professional	26	$69.18	$89.13	$114.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $72.44 / $93.33	Professional	TC	$54.95	$72.44	$93.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $199.53	Professional		$100.00	$128.82	$199.53
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $131.83	Professional	26	$60.26	$81.28	$131.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $50.12 / $77.62	Professional	TC	$30.90	$50.12	$77.62
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $79.43	Professional	26	$61.66	$61.66	$79.43
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $177.83	Professional		$109.65	$109.65	$177.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $87.10 / $204.17	Facility	26	$57.54	$87.10	$204.17
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $234.42	Professional		$91.20	$123.03	$234.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $72.44 / $138.04	Professional	26	$56.23	$72.44	$138.04
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $50.12 / $89.13	Professional	TC	$30.20	$50.12	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $173.78 / $281.84	Professional		$134.90	$173.78	$281.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $74.13 / $74.13	Facility	26	$58.88	$74.13	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $89.13 / $186.21	Professional		$28.84	$89.13	$186.21
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $58.88 / $74.13	Professional	26	$57.54	$58.88	$74.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $43.65 / $47.86	Professional	TC	$30.90	$43.65	$47.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $114.82 / $190.55	Professional		$87.10	$114.82	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $123.03	Professional	26	$54.95	$74.13	$123.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $41.69 / $70.79	Professional	TC	$28.84	$41.69	$70.79

Pennsylvania rates for HCPCS 93284