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 $53.70 / $81.28 / $194.98	Facility	26	$53.70	$81.28	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $363.08 / $1,071.52	Professional		$245.47	$363.08	$1,071.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $114.82 / $316.23	Professional	26	$52.48	$114.82	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $234.42 / $371.54	Professional	TC	$169.82	$234.42	$371.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $389.05	Professional		$169.82	$239.88	$389.05
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $66.07 / $83.18	Professional	26	$43.65	$66.07	$83.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional	TC	$309.03	$309.03	$309.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $331.13	Professional		$295.12	$295.12	$331.13
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $75.86	Professional	26	$57.54	$57.54	$75.86
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $66.07 / $141.25	Professional	26	$64.57	$66.07	$141.25
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $239.88 / $501.19	Professional	TC	$234.42	$239.88	$501.19
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $61.66 / $89.13	Facility	26	$13.18	$61.66	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $389.05 / $616.60	Professional		$251.19	$389.05	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $91.20 / $144.54	Professional	26	$53.70	$91.20	$144.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $302.00 / $478.63	Professional	TC	$199.53	$302.00	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $389.05 / $537.03	Professional		$309.03	$389.05	$537.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $77.62 / $112.20	Professional	26	$61.66	$77.62	$112.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $309.03 / $426.58	Professional	TC	$251.19	$309.03	$426.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $338.84 / $478.63	Professional		$239.88	$338.84	$478.63
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $87.10 / $128.82	Professional	26	$54.95	$87.10	$128.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $257.04 / $331.13	Professional	TC	$147.91	$257.04	$331.13
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility	26	$154.88	$154.88	$154.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $323.59 / $380.19	Professional		$295.12	$323.59	$380.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $67.61 / $102.33	Professional	26	$60.26	$67.61	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $363.08 / $380.19	Professional	TC	$234.42	$363.08	$380.19
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $371.54	Professional		$295.12	$295.12	$371.54
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $79.43	Professional	26	$57.54	$57.54	$79.43
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $53.70 / $64.57 / $114.82	Facility	26	$53.70	$64.57	$114.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $323.59 / $630.96	Professional		$245.47	$323.59	$630.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $79.43 / $151.36	Professional	26	$52.48	$79.43	$151.36
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $251.19 / $478.63	Professional	TC	$177.83	$251.19	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $389.05 / $707.95	Professional		$97.72	$389.05	$707.95
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $93.33	Facility	26	$54.95	$54.95	$93.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $114.82 / $354.81	Professional		$29.51	$114.82	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $54.95 / $93.33	Professional	26	$52.48	$54.95	$93.33
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $199.53 / $263.03	Professional	TC	$194.98	$199.53	$263.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $331.13 / $588.84	Professional		$239.88	$331.13	$588.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $77.62 / $144.54	Professional	26	$51.29	$77.62	$144.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $186.21 / $257.04 / $489.78	Professional	TC	$186.21	$257.04	$489.78

Pennsylvania rates for HCPCS 93975