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 $269.15 / $707.95 / $1,995.26	Facility		$269.15	$707.95	$1,995.26
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $54.95 / $134.90	Facility	26	$37.15	$54.95	$134.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $204.17 / $467.74 / $1,071.52	Facility	TC	$204.17	$467.74	$1,071.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $616.60	Professional		$190.55	$281.84	$616.60
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $48.98 / $100.00	Professional	26	$31.62	$48.98	$100.00
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $213.80 / $213.80 / $213.80	Professional	50	$213.80	$213.80	$213.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $218.78 / $346.74	Professional	TC	$165.96	$218.78	$346.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $186.21 / $239.88	Professional		$154.88	$186.21	$239.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $37.15 / $58.88	Professional	26	$29.51	$37.15	$58.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	TC	$144.54	$144.54	$144.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,000.00 / $38,904.51	Facility		$524.81	$1,000.00	$38,904.51
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $309.03	Professional		$269.15	$269.15	$309.03
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $45.71	Professional	26	$38.90	$38.90	$45.71
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 $239.88 / $302.00 / $467.74	Professional		$239.88	$302.00	$467.74
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $40.74 / $72.44	Professional	26	$38.90	$40.74	$72.44
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $251.19 / $389.05	Professional	TC	$199.53	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $501.19 / $676.08	Facility		$234.42	$501.19	$676.08
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $42.66 / $60.26	Facility	26	$9.12	$42.66	$60.26
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $46.77 / $218.78 / $309.03	Facility	TC	$46.77	$218.78	$309.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $323.59 / $512.86	Professional		$218.78	$323.59	$512.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $40.74 / $72.44	Professional	26	$29.51	$40.74	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $281.84 / $457.09	Professional	TC	$194.98	$281.84	$457.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $354.81 / $489.78	Professional		$281.84	$354.81	$489.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $53.70 / $77.62	Professional	26	$42.66	$53.70	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $302.00 / $416.87	Professional	TC	$239.88	$302.00	$416.87
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	TC	$229.09	$229.09	$229.09
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $295.12 / $389.05	Professional		$177.83	$295.12	$389.05
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $39.81 / $64.57	Professional	26	$27.54	$39.81	$64.57
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $251.19 / $323.59	Professional	TC	$147.91	$251.19	$323.59
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $549.54 / $912.01	Facility		$309.03	$549.54	$912.01
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	26	$53.70	$53.70	$53.70
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $416.87 / $977.24 / $1,445.44	Facility	TC	$416.87	$977.24	$1,445.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $275.42 / $309.03	Professional		$251.19	$275.42	$309.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $41.69 / $47.86	Professional	26	$39.81	$41.69	$47.86
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,071.52 / $17,378.01	Facility		$524.81	$1,071.52	$17,378.01
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $309.03	Professional		$269.15	$269.15	$309.03
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $48.98	Professional	26	$38.90	$38.90	$48.98
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $537.03 / $1,023.29	Facility		$245.47	$537.03	$1,023.29
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $47.86 / $79.43	Facility	26	$37.15	$47.86	$79.43
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $194.98 / $257.04 / $457.09	Facility	TC	$194.98	$257.04	$457.09
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $288.40 / $549.54	Professional		$213.80	$288.40	$549.54
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $44.67 / $85.11	Professional	26	$33.88	$44.67	$85.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $239.88 / $467.74	Professional	TC	$177.83	$239.88	$467.74
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $562.34 / $776.25	Facility		$537.03	$562.34	$776.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $389.05 / $549.54	Professional		$79.43	$389.05	$549.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $302.00	Facility		$77.62	$128.82	$302.00
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility	26	$36.31	$36.31	$36.31
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $194.98 / $269.15 / $269.15	Facility	TC	$194.98	$269.15	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $128.82 / $416.87	Professional		$44.67	$128.82	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $194.98 / $269.15	Professional	TC	$190.55	$194.98	$269.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $691.83 / $812.83	Facility		$389.05	$691.83	$812.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $288.40 / $537.03	Professional		$208.93	$288.40	$537.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $41.69 / $81.28	Professional	26	$28.84	$41.69	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $251.19 / $457.09	Professional	TC	$181.97	$251.19	$457.09

Pennsylvania rates for HCPCS 93925