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 $25.70 / $77.62 / $138.04	Facility	26	$25.70	$77.62	$138.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $257.04	Professional		$104.71	$134.90	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.84 / $81.28	Professional	26	$22.91	$28.84	$81.28
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $104.71 / $169.82	Professional	TC	$72.44	$104.71	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $27.54 / $54.95	Professional	26	$27.54	$27.54	$54.95
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $27.54 / $29.51	Professional	26	$25.70	$27.54	$29.51
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $144.54 / $239.88	Professional		$123.03	$144.54	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $37.15 / $47.86	Professional	26	$31.62	$37.15	$47.86
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $194.98	Professional	TC	$91.20	$109.65	$194.98
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $40.74 / $57.54	Facility	26	$8.71	$40.74	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $213.80 / $346.74	Professional		$144.54	$213.80	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $36.31 / $56.23	Professional	26	$25.12	$36.31	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $181.97 / $295.12	Professional	TC	$120.23	$181.97	$295.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $213.80 / $295.12	Professional		$169.82	$213.80	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $52.48 / $75.86	Professional	26	$42.66	$52.48	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $162.18 / $218.78	Professional	TC	$128.82	$162.18	$218.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $181.97 / $245.47	Professional		$95.50	$181.97	$245.47
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $41.69 / $61.66	Professional	26	$32.36	$41.69	$61.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $138.04 / $194.98	Professional	TC	$61.66	$138.04	$194.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $46.77	Professional	26	$42.66	$42.66	$46.77
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $27.54 / $29.51	Professional	26	$25.70	$27.54	$29.51
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $23.99 / $25.70	Facility	26	$23.99	$23.99	$25.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $138.04 / $302.00	Professional		$107.15	$138.04	$302.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $28.18 / $57.54	Professional	26	$22.91	$28.18	$57.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $109.65 / $245.47	Professional	TC	$74.13	$109.65	$245.47
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $245.47 / $407.38	Professional		$66.07	$245.47	$407.38
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $40.74	Facility	26	$24.55	$24.55	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $70.79 / $128.82	Professional		$50.12	$70.79	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $24.55 / $40.74	Professional	26	$23.99	$24.55	$40.74
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $100.00 / $144.54	Professional	TC	$97.72	$100.00	$144.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $181.97 / $338.84	Professional		$141.25	$181.97	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $32.36 / $58.88	Professional	26	$23.99	$32.36	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $154.88 / $281.84	Professional	TC	$114.82	$154.88	$281.84

Pennsylvania rates for HCPCS 93888