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 $23.99 / $40.74 / $85.11	Facility	26	$23.99	$40.74	$85.11
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $134.90 / $288.40	Professional		$46.77	$134.90	$288.40
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $30.20 / $64.57	Professional	26	$19.05	$30.20	$64.57
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $112.20 / $177.83	Professional	TC	$91.20	$112.20	$177.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $112.20 / $169.82	Professional		$93.33	$112.20	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $18.62 / $44.67	Professional	26	$17.78	$18.62	$44.67
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $134.90 / $147.91	Professional		$123.03	$134.90	$147.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $131.83 / $229.09	Professional		$117.49	$131.83	$229.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.99 / $44.67	Professional	26	$22.91	$23.99	$44.67
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $104.71 / $186.21	Professional	TC	$95.50	$104.71	$186.21
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $169.82 / $269.15	Professional		$114.82	$169.82	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $23.99 / $44.67	Professional	26	$16.22	$23.99	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $151.36 / $234.42	Professional	TC	$95.50	$151.36	$234.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $251.19	Professional		$144.54	$181.97	$251.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $47.86	Professional	26	$26.92	$33.11	$47.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $147.91 / $204.17	Professional	TC	$117.49	$147.91	$204.17
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $213.80	Professional		$107.15	$154.88	$213.80
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $24.55 / $38.90	Professional	26	$15.49	$24.55	$38.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $125.89 / $190.55	Professional	TC	$91.20	$125.89	$190.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $144.54 / $199.53	Professional		$138.04	$144.54	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $25.70 / $30.20	Professional	26	$23.99	$25.70	$30.20
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $151.36	Professional		$134.90	$134.90	$151.36
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $33.88 / $45.71	Facility	26	$22.91	$33.88	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $302.00	Professional		$114.82	$154.88	$302.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $27.54 / $50.12	Professional	26	$19.05	$27.54	$50.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $125.89 / $245.47	Professional	TC	$93.33	$125.89	$245.47
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $234.42 / $354.81	Professional		$162.18	$234.42	$354.81
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $21.88 / $22.39	Facility	26	$21.88	$21.88	$22.39
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $52.48 / $131.83	Professional		$26.30	$52.48	$131.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.39 / $23.44	Professional	26	$21.88	$22.39	$23.44
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $95.50 / $112.20	Professional	TC	$93.33	$95.50	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $269.15	Professional		$112.20	$147.91	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $25.12 / $48.98	Professional	26	$16.22	$25.12	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $123.03 / $223.87	Professional	TC	$91.20	$123.03	$223.87

Pennsylvania rates for HCPCS 93931