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 $38.90 / $61.66 / $134.90	Facility	26	$38.90	$61.66	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $223.87 / $537.03	Professional		$181.97	$223.87	$537.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $45.71 / $91.20	Professional	26	$28.18	$45.71	$91.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $177.83 / $281.84	Professional	TC	$144.54	$177.83	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.20 / $56.23	Professional	26	$30.20	$30.20	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $194.98 / $371.54	Professional		$190.55	$194.98	$371.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.90 / $72.44	Professional	26	$38.02	$38.90	$72.44
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $158.49 / $295.12	Professional	TC	$151.36	$158.49	$295.12
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $42.66 / $61.66	Facility	26	$9.12	$42.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $263.03 / $416.87	Professional		$181.97	$263.03	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $37.15 / $72.44	Professional	26	$23.99	$37.15	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $229.09 / $363.08	Professional	TC	$151.36	$229.09	$363.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $295.12 / $407.38	Professional		$239.88	$295.12	$407.38
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $53.70 / $77.62	Professional	26	$43.65	$53.70	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $245.47 / $331.13	Professional	TC	$194.98	$245.47	$331.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $331.13	Professional		$169.82	$239.88	$331.13
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $39.81 / $61.66	Professional	26	$22.91	$39.81	$61.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $204.17 / $295.12	Professional	TC	$147.91	$204.17	$295.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $223.87 / $257.04	Professional		$218.78	$223.87	$257.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $42.66 / $66.07	Professional	26	$35.48	$42.66	$66.07
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $53.70 / $74.13	Facility	26	$38.90	$53.70	$74.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $234.42 / $478.63	Professional		$181.97	$234.42	$478.63
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $42.66 / $85.11	Professional	26	$26.92	$42.66	$85.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $194.98 / $398.11	Professional	TC	$147.91	$194.98	$398.11
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $363.08 / $537.03	Professional		$245.47	$363.08	$537.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $33.11 / $37.15	Facility	26	$33.11	$33.11	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $302.00	Professional		$79.43	$114.82	$302.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $37.15 / $38.90	Professional	26	$33.11	$37.15	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $154.88 / $165.96	Professional	TC	$147.91	$154.88	$165.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $229.09 / $426.58	Professional		$169.82	$229.09	$426.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $40.74 / $77.62	Professional	26	$24.55	$40.74	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $199.53 / $354.81	Professional	TC	$144.54	$199.53	$354.81

Pennsylvania rates for HCPCS 93930