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 Typical Low / Median / Typical High $27.54 / $234.42 / $851.14	Facility		$27.54	$234.42	$851.14
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	52	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $39.81 / $120.23	Professional		$10.96	$39.81	$120.23
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.30 / $24.55 / $72.44	Professional	52	$12.30	$24.55	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $15.85 / $34.67	Professional		$10.47	$15.85	$34.67
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $3,019.95 / $4,786.30	Facility		$1,202.26	$3,019.95	$4,786.30
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $36.31 / $64.57	Professional		$35.48	$36.31	$64.57
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Facility		$19.05	$19.05	$19.05
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility	52	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $37.15 / $69.18	Professional		$12.59	$37.15	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $54.95 / $75.86	Professional		$43.65	$54.95	$75.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $41.69 / $60.26	Professional		$18.20	$41.69	$60.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $269.15 / $616.60	Facility		$72.44	$269.15	$616.60
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $18.20 / $60.26	Professional		$14.79	$18.20	$60.26
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $2,754.23 / $4,168.69	Facility		$1,230.27	$2,754.23	$4,168.69
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $34.67 / $125.89	Facility		$12.88	$34.67	$125.89
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $32.36 / $70.79	Professional		$11.22	$32.36	$70.79
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $891.25 / $1,202.26	Facility		$870.96	$891.25	$1,202.26
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $56.23 / $70.79	Professional		$46.77	$56.23	$70.79
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $35.48 / $91.20	Facility		$10.00	$35.48	$91.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $15.85 / $53.70	Professional		$8.51	$15.85	$53.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $34.67 / $66.07	Professional		$12.02	$34.67	$66.07

Pennsylvania rates for HCPCS 93356