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 $25.12 / $39.81 / $97.72	Facility	26	$25.12	$39.81	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $177.83 / $436.52	Professional		$144.54	$177.83	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $26.30 / $64.57	Professional	26	$21.88	$26.30	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $147.91 / $275.42	Professional	TC	$123.03	$147.91	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $151.36 / $208.93	Professional		$128.82	$151.36	$208.93
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	26	$35.48	$35.48	$35.48
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $173.78 / $223.87	Professional		$147.91	$173.78	$223.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $158.49 / $380.19	Professional		$151.36	$158.49	$380.19
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $24.55 / $51.29	Professional	26	$23.44	$24.55	$51.29
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $134.90 / $331.13	Professional	TC	$128.82	$134.90	$331.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.75 / $26.92 / $38.02	Facility	26	$5.75	$26.92	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $223.87 / $354.81	Professional		$147.91	$223.87	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.20 / $47.86	Professional	26	$22.39	$30.20	$47.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $199.53 / $309.03	Professional	TC	$128.82	$199.53	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $245.47 / $338.84	Professional		$199.53	$245.47	$338.84
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $34.67 / $50.12	Professional	26	$28.18	$34.67	$50.12
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $213.80 / $288.40	Professional	TC	$169.82	$213.80	$288.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $213.80 / $323.59	Professional		$162.18	$213.80	$323.59
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $30.90 / $44.67	Professional	26	$23.44	$30.90	$44.67
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $190.55 / $275.42	Professional	TC	$134.90	$190.55	$275.42
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $26.30 / $26.30	Professional	26	$24.55	$26.30	$26.30
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $173.78 / $199.53	Professional		$138.04	$173.78	$199.53
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $34.67 / $42.66	Facility	26	$22.91	$34.67	$42.66
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $199.53 / $389.05	Professional		$147.91	$199.53	$389.05
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.18 / $53.70	Professional	26	$21.88	$28.18	$53.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $169.82 / $331.13	Professional	TC	$123.03	$169.82	$331.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $275.42 / $416.87	Professional		$48.98	$275.42	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $39.81	Facility	26	$23.44	$23.44	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $97.72 / $309.03	Professional		$21.88	$97.72	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.99 / $24.55	Professional	26	$22.91	$23.99	$24.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $125.89 / $138.04	Professional	TC	$123.03	$125.89	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $338.84	Professional		$141.25	$194.98	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $28.84 / $53.70	Professional	26	$21.38	$28.84	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $169.82 / $302.00	Professional	TC	$120.23	$169.82	$302.00

Pennsylvania rates for HCPCS 93924