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 $81.28 / $120.23 / $218.78	Facility	26	$81.28	$120.23	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $1,023.29	Professional		$218.78	$316.23	$1,023.29
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $117.49 / $316.23	Professional	26	$75.86	$117.49	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $173.78 / $316.23	Professional	TC	$138.04	$173.78	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $218.78 / $398.11	Professional		$213.80	$218.78	$398.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $100.00 / $154.88	Professional	26	$79.43	$100.00	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $302.00 / $316.23	Professional		$295.12	$302.00	$316.23
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $177.83	Professional	26	$100.00	$100.00	$177.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $229.09 / $416.87	Professional		$194.98	$229.09	$416.87
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $154.88	Professional	26	$72.44	$85.11	$154.88
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $147.91 / $257.04	Professional	TC	$125.89	$147.91	$257.04
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $93.33 / $131.83	Facility	26	$19.95	$93.33	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $512.86	Professional		$218.78	$316.23	$512.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $112.20 / $177.83	Professional	26	$81.28	$112.20	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $190.55 / $323.59	Professional	TC	$151.36	$190.55	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $331.13 / $489.78	Professional		$275.42	$331.13	$489.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $114.82 / $173.78	Professional	26	$95.50	$114.82	$173.78
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $218.78 / $316.23	Professional	TC	$181.97	$218.78	$316.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $457.09	Professional		$229.09	$302.00	$457.09
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $109.65 / $162.18	Professional	26	$83.18	$109.65	$162.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $177.83 / $275.42	Professional	TC	$141.25	$177.83	$275.42
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $389.05	Professional		$380.19	$380.19	$389.05
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $95.50 / $125.89	Professional	26	$95.50	$95.50	$125.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $302.00 / $331.13	Professional		$295.12	$302.00	$331.13
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $100.00 / $177.83	Professional	26	$100.00	$100.00	$177.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $120.23 / $204.17	Facility	26	$81.28	$120.23	$204.17
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $295.12 / $562.34	Professional		$218.78	$295.12	$562.34
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $102.33 / $186.21	Professional	26	$77.62	$102.33	$186.21
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $190.55 / $363.08	Professional	TC	$141.25	$190.55	$363.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $354.81 / $549.54	Professional		$151.36	$354.81	$549.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $104.71	Facility	26	$81.28	$81.28	$104.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $223.87 / $407.38	Professional		$89.13	$223.87	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $81.28 / $104.71	Professional	26	$79.43	$81.28	$104.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $141.25 / $158.49	Professional	TC	$138.04	$141.25	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $288.40 / $478.63	Professional		$213.80	$288.40	$478.63
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $107.15 / $169.82	Professional	26	$77.62	$107.15	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $181.97 / $309.03	Professional	TC	$138.04	$181.97	$309.03

Pennsylvania rates for HCPCS 93351