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 $245.47 / $660.69 / $1,737.80	Facility		$245.47	$660.69	$1,737.80
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $120.23	Facility	26	$32.36	$48.98	$120.23
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $173.78 / $524.81 / $1,023.29	Facility	TC	$173.78	$524.81	$1,023.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $575.44	Professional		$173.78	$257.04	$575.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $44.67 / $107.15	Professional	26	$30.90	$44.67	$107.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $177.83 / $331.13	Professional	TC	$141.25	$177.83	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $144.54 / $275.42	Professional		$138.04	$144.54	$275.42
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $33.11 / $50.12	Professional	26	$25.12	$33.11	$50.12
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $117.49 / $229.09	Professional	TC	$112.20	$117.49	$229.09
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $1,202.26 / $2,398.83	Facility		$645.65	$1,202.26	$2,398.83
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $645.65 / $1,202.26 / $2,238.72	Facility	TC	$645.65	$1,202.26	$2,238.72
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $43.65	Professional	26	$33.88	$33.88	$43.65
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $5,011.87 / $77,624.71	Facility		$245.47	$5,011.87	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $251.19 / $436.52	Professional		$208.93	$251.19	$436.52
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $42.66 / $69.18	Professional	26	$38.02	$42.66	$69.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $204.17 / $363.08	Professional	TC	$173.78	$204.17	$363.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $416.87 / $616.60	Facility		$181.97	$416.87	$616.60
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $35.48 / $165.96 / $234.42	Facility	TC	$35.48	$165.96	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $416.87	Professional		$173.78	$257.04	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $40.74 / $66.07	Professional	26	$30.90	$40.74	$66.07
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $218.78 / $354.81	Professional	TC	$147.91	$218.78	$354.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $275.42 / $380.19	Professional		$218.78	$275.42	$380.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $46.77 / $67.61	Professional	26	$38.02	$46.77	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $229.09 / $316.23	Professional	TC	$181.97	$229.09	$316.23
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Geisinger Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility	TC	$251.19	$251.19	$251.19
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $338.84	Professional		$169.82	$239.88	$338.84
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $60.26	Professional	26	$31.62	$41.69	$60.26
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $194.98 / $288.40	Professional	TC	$138.04	$194.98	$288.40
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $933.25	Facility		$323.59	$562.34	$933.25
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	26	$58.88	$58.88	$58.88
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $398.11 / $870.96 / $1,174.90	Facility	TC	$398.11	$870.96	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $229.09 / $295.12	Professional		$208.93	$229.09	$295.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $38.90 / $51.29	Professional	26	$34.67	$38.90	$51.29
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	TC	$269.15	$269.15	$269.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $1,288.25 / $3,388.44	Facility		$316.23	$1,288.25	$3,388.44
Independence Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $323.59 / $1,202.26 / $2,238.72	Facility	TC	$323.59	$1,202.26	$2,238.72
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $234.42	Professional		$208.93	$208.93	$234.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $44.67	Professional	26	$33.88	$33.88	$44.67
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $562.34 / $1,148.15	Facility		$208.93	$562.34	$1,148.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $42.66 / $70.79	Facility	26	$32.36	$42.66	$70.79
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $204.17 / $512.86	Facility	TC	$147.91	$204.17	$512.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $436.52	Professional		$177.83	$234.42	$436.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $75.86	Professional	26	$31.62	$41.69	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $190.55 / $363.08	Professional	TC	$144.54	$190.55	$363.08
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,412.54 / $1,737.80	Facility		$1,047.13	$1,412.54	$1,737.80
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $281.84 / $407.38	Professional		$58.88	$281.84	$407.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $416.87	Facility		$85.11	$109.65	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $38.90	Facility	26	$32.36	$32.36	$38.90
UPMC Health Plan Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $147.91 / $234.42	Facility	TC	$147.91	$147.91	$234.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $95.50 / $194.98	Professional		$60.26	$95.50	$194.98
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $32.36 / $33.88	Professional	26	$31.62	$32.36	$33.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $147.91 / $162.18	Professional	TC	$144.54	$147.91	$162.18
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 $165.96 / $223.87 / $426.58	Professional		$165.96	$223.87	$426.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $39.81 / $79.43	Professional	26	$29.51	$39.81	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $190.55 / $338.84	Professional	TC	$138.04	$190.55	$338.84

Pennsylvania rates for HCPCS 93970