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 $2.88 / $5.25 / $16.98	Facility	26	$2.88	$5.25	$16.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $44.67 / $114.82	Professional		$22.39	$44.67	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $5.37 / $15.14	Professional	26	$2.88	$5.37	$15.14
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $3.47 / $4.27 / $4.27	Professional	52	$3.47	$4.27	$4.27
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.70 / $87.10	Professional	TC	$18.20	$25.70	$87.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $20.42 / $40.74	Professional		$18.20	$20.42	$40.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $4.68 / $6.46	Professional	26	$2.88	$4.68	$6.46
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $33.88	Professional		$31.62	$31.62	$33.88
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.72 / $3.72 / $4.79	Professional	26	$3.72	$3.72	$4.79
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.70 / $60.26	Professional		$21.88	$25.70	$60.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $3.39 / $7.59	Professional	26	$3.02	$3.39	$7.59
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $22.39 / $52.48	Professional	TC	$18.62	$22.39	$52.48
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.74 / $3.47 / $4.90	Facility	26	$0.74	$3.47	$4.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $41.69 / $134.90	Professional		$22.39	$41.69	$134.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $4.37 / $6.76	Professional	26	$3.02	$4.37	$6.76
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $38.02 / $128.82	Professional	TC	$19.95	$38.02	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $51.29 / $74.13	Professional		$33.11	$51.29	$74.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $4.79 / $7.08	Professional	26	$3.89	$4.79	$7.08
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.90 / $41.69	Professional	TC	$24.55	$30.90	$41.69
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $128.82	Professional		$23.99	$37.15	$128.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.24 / $4.37 / $6.76	Professional	26	$3.24	$4.37	$6.76
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $31.62 / $125.89	Professional	TC	$20.42	$31.62	$125.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $28.18 / $44.67	Professional		$24.55	$28.18	$44.67
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.39 / $3.98 / $5.37	Professional	26	$3.39	$3.98	$5.37
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	TC	$114.82	$114.82	$114.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $33.11 / $208.93	Professional		$31.62	$33.11	$208.93
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.72 / $3.72 / $4.90	Professional	26	$3.72	$3.72	$4.90
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $4.90 / $8.71	Facility	26	$2.88	$4.90	$8.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $34.67 / $74.13	Professional		$21.88	$34.67	$74.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $3.98 / $7.76	Professional	26	$2.88	$3.98	$7.76
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $60.26	Professional	TC	$19.05	$30.20	$60.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $42.66 / $147.91	Professional		$7.59	$42.66	$147.91
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $3.02 / $5.62	Facility	26	$3.02	$3.02	$5.62
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $22.91 / $57.54	Professional		$5.75	$22.91	$57.54
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $3.02 / $5.62	Professional	26	$2.95	$3.02	$5.62
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $19.50 / $100.00	Professional	TC	$19.05	$19.50	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $39.81 / $128.82	Professional		$23.99	$39.81	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $4.07 / $6.92	Professional	26	$2.88	$4.07	$6.92
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $114.82	Professional	TC	$19.50	$28.84	$114.82

Pennsylvania rates for HCPCS 93325