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 $6.76 / $10.72 / $51.29	Facility	26	$6.76	$10.72	$51.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $43.65 / $131.83	Professional		$23.99	$43.65	$131.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.30 / $31.62	Professional	26	$6.61	$12.30	$31.62
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $21.88 / $45.71	Professional	TC	$15.85	$21.88	$45.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $25.70 / $43.65	Professional		$19.95	$25.70	$43.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $10.72 / $14.13	Professional	26	$6.76	$10.72	$14.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.88 / $36.31	Professional		$33.11	$33.88	$36.31
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $11.22	Professional	26	$8.71	$8.71	$11.22
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $24.55 / $63.10	Professional		$23.99	$24.55	$63.10
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.24 / $15.85	Professional	26	$7.08	$7.24	$15.85
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $17.38 / $45.71	Professional	TC	$16.98	$17.38	$45.71
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.74 / $8.13 / $11.48	Facility	26	$1.74	$8.13	$11.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $39.81 / $70.79	Professional		$24.55	$39.81	$70.79
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $9.33 / $15.14	Professional	26	$7.08	$9.33	$15.14
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $29.51 / $56.23	Professional	TC	$17.78	$29.51	$56.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $38.02 / $52.48	Professional		$30.20	$38.02	$52.48
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $10.72 / $15.49	Professional	26	$8.71	$10.72	$15.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $37.15	Professional	TC	$21.88	$26.92	$37.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $63.10	Professional		$25.70	$38.90	$63.10
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $9.55 / $14.13	Professional	26	$7.24	$9.55	$14.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $28.18 / $51.29	Professional	TC	$18.20	$28.18	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.13 / $8.91	Professional	26	$8.13	$8.13	$8.91
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $36.31	Professional		$33.88	$33.88	$36.31
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $10.23	Professional	26	$8.71	$8.71	$10.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.76 / $10.47 / $15.85	Facility	26	$6.76	$10.47	$15.85
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $33.11 / $70.79	Professional		$23.99	$33.11	$70.79
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $8.91 / $16.98	Professional	26	$6.03	$8.91	$16.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.44 / $50.12	Professional	TC	$16.98	$23.44	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $47.86 / $69.18	Professional		$15.85	$47.86	$69.18
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $17.38 / $17.38	Facility	26	$6.92	$17.38	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $30.20 / $74.13	Professional		$18.62	$30.20	$74.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $7.08 / $17.38	Professional	26	$6.92	$7.08	$17.38
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $17.38 / $38.90	Professional	TC	$16.60	$17.38	$38.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $36.31 / $64.57	Professional		$24.55	$36.31	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $9.12 / $15.14	Professional	26	$6.76	$9.12	$15.14
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $25.12 / $48.98	Professional	TC	$16.98	$25.12	$48.98

Pennsylvania rates for HCPCS 93321