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 $22.91 / $35.48 / $147.91	Facility	26	$22.91	$35.48	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $107.15	Professional		$38.90	$61.66	$107.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $61.66	Professional	26	$18.20	$22.91	$61.66
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $33.88 / $56.23	Professional	TC	$18.20	$33.88	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $83.18	Professional		$47.86	$56.23	$83.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $20.89 / $36.31	Professional	26	$17.78	$20.89	$36.31
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.88 / $47.86	Professional	TC	$26.92	$33.88	$47.86
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $4.90 / $22.91 / $33.11	Facility	26	$4.90	$22.91	$33.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $109.65	Professional		$43.65	$58.88	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $27.54 / $46.77	Professional	26	$19.95	$27.54	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $33.11 / $69.18	Professional	TC	$18.62	$33.11	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $87.10 / $112.20	Professional		$66.07	$87.10	$112.20
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $30.20 / $39.81	Professional	26	$23.44	$30.20	$39.81
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $56.23 / $72.44	Professional	TC	$42.66	$56.23	$72.44
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $64.57 / $100.00	Professional		$44.67	$64.57	$100.00
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $44.67	Professional	26	$20.42	$27.54	$44.67
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $38.90 / $60.26	Professional	TC	$19.50	$38.90	$60.26
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	26	$181.97	$181.97	$181.97
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $20.89 / $26.92	Professional	26	$20.89	$20.89	$26.92
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $25.12 / $35.48	Facility	26	$22.91	$25.12	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $63.10 / $123.03	Professional		$39.81	$63.10	$123.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.99 / $46.77	Professional	26	$18.20	$23.99	$46.77
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $38.02 / $74.13	Professional	TC	$18.62	$38.02	$74.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $72.44 / $154.88	Professional		$56.23	$72.44	$154.88
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $30.90	Facility	26	$19.95	$19.95	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $41.69 / $75.86	Professional		$17.38	$41.69	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $19.95 / $20.42	Professional	26	$19.50	$19.95	$20.42
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $34.67 / $38.02	Professional	TC	$33.88	$34.67	$38.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $95.50	Professional		$40.74	$54.95	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $24.55 / $40.74	Professional	26	$18.62	$24.55	$40.74
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $31.62 / $54.95	Professional	TC	$19.50	$31.62	$54.95

Pennsylvania rates for HCPCS 93288