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 $11.75 / $17.78 / $43.65	Facility	26	$11.75	$17.78	$43.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $269.15	Professional		$70.79	$107.15	$269.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.22 / $41.69	Professional	26	$10.96	$16.22	$41.69
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $26.30 / $229.09 / $371.54	Professional	52	$26.30	$229.09	$371.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $85.11 / $173.78	Professional	TC	$64.57	$85.11	$173.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $60.26 / $95.50	Professional		$54.95	$60.26	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.75 / $22.39	Professional	26	$9.55	$11.75	$22.39
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional	52	$19.50	$19.50	$19.50
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $102.33	Professional		$91.20	$91.20	$102.33
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $15.85	Professional	26	$13.18	$13.18	$15.85
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $89.13 / $204.17	Professional		$77.62	$89.13	$204.17
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $13.49 / $25.12	Professional	26	$11.75	$13.49	$25.12
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $74.13 / $173.78	Professional	TC	$66.07	$74.13	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $117.49 / $186.21	Professional		$75.86	$117.49	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.79 / $23.99	Professional	26	$10.96	$14.79	$23.99
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $104.71 / $169.82	Professional	TC	$66.07	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $169.82	Professional		$100.00	$125.89	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $16.98 / $24.55	Professional	26	$13.80	$16.98	$24.55
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $107.15 / $147.91	Professional	TC	$87.10	$107.15	$147.91
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $114.82 / $165.96	Professional		$81.28	$114.82	$165.96
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $21.38	Professional	26	$11.48	$15.14	$21.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $100.00 / $144.54	Professional	TC	$69.18	$100.00	$144.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $128.82	Professional		$87.10	$87.10	$128.82
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.88 / $19.50	Professional	26	$12.02	$12.88	$19.50
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $102.33	Professional		$67.61	$91.20	$102.33
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $16.60	Professional	26	$13.18	$13.18	$16.60
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $14.13 / $25.70	Facility	26	$11.75	$14.13	$25.70
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $109.65 / $208.93	Professional		$77.62	$109.65	$208.93
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $27.54	Professional	26	$10.96	$15.14	$27.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $93.33 / $177.83	Professional	TC	$66.07	$93.33	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $125.89 / $194.98	Professional		$22.39	$125.89	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $19.95 / $19.95	Facility	26	$12.02	$19.95	$19.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $30.90 / $114.82	Professional		$9.77	$30.90	$114.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $19.95	Professional	26	$12.02	$12.02	$19.95
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $67.61 / $100.00	Professional	TC	$64.57	$67.61	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $190.55	Professional		$74.13	$102.33	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.45 / $27.54	Professional	26	$10.96	$14.45	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $87.10 / $158.49	Professional	TC	$63.10	$87.10	$158.49

Pennsylvania rates for HCPCS 93922