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 $158.49 / $467.74 / $1,122.02	Facility		$158.49	$467.74	$1,122.02
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $35.48 / $79.43	Facility	26	$21.38	$35.48	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $169.82 / $446.68	Professional		$112.20	$169.82	$446.68
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $30.90 / $67.61	Professional	26	$19.95	$30.90	$67.61
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $131.83 / $263.03	Professional	TC	$97.72	$131.83	$263.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $104.71 / $229.09	Professional		$89.13	$104.71	$229.09
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $30.90 / $40.74	Professional	26	$16.22	$30.90	$40.74
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional	TC	$89.13	$89.13	$89.13
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $776.25 / $10,000.00	Facility		$416.87	$776.25	$10,000.00
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $158.49	Professional		$104.71	$141.25	$158.49
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $28.18	Professional	26	$21.88	$21.88	$28.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $5,011.87 / $77,624.71	Facility		$147.91	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $138.04 / $245.47	Professional		$125.89	$138.04	$245.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $23.99 / $45.71	Professional	26	$21.38	$23.99	$45.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $112.20 / $208.93	Professional	TC	$104.71	$112.20	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $288.40 / $398.11	Facility		$128.82	$288.40	$398.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.13 / $23.99 / $34.67	Facility	26	$5.13	$23.99	$34.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $181.97 / $295.12	Professional		$120.23	$181.97	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.92 / $43.65	Professional	26	$20.42	$26.92	$43.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $162.18 / $257.04	Professional	TC	$102.33	$162.18	$257.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $199.53 / $275.42	Professional		$162.18	$199.53	$275.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $31.62 / $44.67	Professional	26	$25.12	$31.62	$44.67
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $169.82 / $229.09	Professional	TC	$134.90	$169.82	$229.09
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $177.83 / $263.03	Professional		$131.83	$177.83	$263.03
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $27.54 / $39.81	Professional	26	$20.89	$27.54	$39.81
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $154.88 / $218.78	Professional	TC	$107.15	$154.88	$218.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $407.38 / $724.44	Facility		$245.47	$407.38	$724.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $190.55	Professional		$169.82	$169.82	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $22.39 / $36.31	Professional	26	$21.38	$22.39	$36.31
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $831.76 / $3,090.30	Facility		$263.03	$831.76	$3,090.30
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $158.49	Professional		$104.71	$141.25	$158.49
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $28.18	Professional	26	$21.88	$21.88	$28.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $354.81 / $812.83	Facility		$141.25	$354.81	$812.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $30.90 / $47.86	Facility	26	$20.89	$30.90	$47.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $169.82 / $338.84	Professional		$120.23	$169.82	$338.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.30 / $50.12	Professional	26	$19.95	$26.30	$50.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $141.25 / $281.84	Professional	TC	$100.00	$141.25	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $204.17 / $302.00	Professional		$40.74	$204.17	$302.00
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $60.26 / $123.03	Facility		$8.71	$60.26	$123.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $34.67	Facility	26	$21.38	$21.38	$34.67
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $87.10 / $162.18	Professional		$28.18	$87.10	$162.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $21.38 / $21.88	Professional	26	$20.42	$21.38	$21.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $102.33 / $112.20	Professional	TC	$100.00	$102.33	$112.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $630.96 / $724.44	Facility		$323.59	$630.96	$724.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $158.49 / $281.84	Professional		$114.82	$158.49	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.70 / $48.98	Professional	26	$19.50	$25.70	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $239.88	Professional	TC	$95.50	$134.90	$239.88

Pennsylvania rates for HCPCS 93923