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 $28.18 / $85.11 / $181.97	Facility	26	$28.18	$85.11	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $64.57 / $141.25	Professional		$44.67	$64.57	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $79.43	Professional	26	$22.91	$28.84	$79.43
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $33.11 / $60.26	Professional	TC	$16.98	$33.11	$60.26
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $48.98	Professional	26	$30.90	$30.90	$48.98
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $58.88 / $89.13	Professional		$50.12	$58.88	$89.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $43.65	Professional	26	$21.88	$25.70	$43.65
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $33.11 / $47.86	Professional	TC	$26.30	$33.11	$47.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $40.74	Facility	26	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $64.57 / $117.49	Professional		$48.98	$64.57	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.88 / $56.23	Professional	26	$24.55	$33.88	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $32.36 / $67.61	Professional	TC	$18.62	$32.36	$67.61
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $91.20 / $120.23	Professional		$70.79	$91.20	$120.23
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $37.15 / $48.98	Professional	26	$29.51	$37.15	$48.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $70.79	Professional	TC	$41.69	$54.95	$70.79
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $70.79 / $109.65	Professional		$50.12	$70.79	$109.65
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.88 / $54.95	Professional	26	$25.70	$33.88	$54.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $38.02 / $58.88	Professional	TC	$19.05	$38.02	$58.88
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $66.07 / $66.07	Professional		$61.66	$66.07	$66.07
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $85.11	Facility	26	$28.18	$28.18	$85.11
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $64.57 / $125.89	Professional		$43.65	$64.57	$125.89
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.20 / $57.54	Professional	26	$22.39	$30.20	$57.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $36.31 / $69.18	Professional	TC	$17.78	$36.31	$69.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $81.28 / $165.96	Professional		$63.10	$81.28	$165.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $30.90	Facility	26	$25.12	$30.90	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $51.29 / $114.82	Professional		$16.60	$51.29	$114.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $30.90	Professional	26	$24.55	$25.12	$30.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $33.88 / $37.15	Professional	TC	$19.05	$33.88	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $102.33	Professional		$44.67	$60.26	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $51.29	Professional	26	$22.91	$30.90	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $53.70	Professional	TC	$19.05	$30.90	$53.70

Pennsylvania rates for HCPCS 93285