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 $37.15 / $56.23 / $134.90	Facility	26	$37.15	$56.23	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $794.33	Professional		$134.90	$223.87	$794.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $58.88 / $173.78	Professional	26	$36.31	$58.88	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $151.36 / $309.03	Professional	TC	$97.72	$151.36	$309.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $120.23	Professional		$102.33	$102.33	$120.23
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $57.54	Professional	26	$30.20	$38.90	$57.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $186.21	Professional		$151.36	$151.36	$186.21
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $50.12	Professional	26	$38.90	$38.90	$50.12
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $147.91 / $309.03	Professional		$141.25	$147.91	$309.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $48.98 / $97.72	Professional	26	$38.02	$48.98	$97.72
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $109.65 / $218.78	Professional	TC	$104.71	$109.65	$218.78
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 $147.91 / $229.09 / $363.08	Professional		$147.91	$229.09	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $61.66 / $97.72	Professional	26	$37.15	$61.66	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $169.82 / $263.03	Professional	TC	$114.82	$169.82	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $295.12	Professional		$173.78	$213.80	$295.12
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 $128.82 / $162.18 / $218.78	Professional	TC	$128.82	$162.18	$218.78
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $204.17 / $295.12	Professional		$144.54	$204.17	$295.12
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $60.26 / $85.11	Professional	26	$38.02	$60.26	$85.11
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $147.91 / $218.78	Professional	TC	$107.15	$147.91	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $190.55 / $309.03	Professional		$177.83	$190.55	$309.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $43.65 / $67.61	Professional	26	$39.81	$43.65	$67.61
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $158.49 / $177.83	Professional	TC	$151.36	$158.49	$177.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $269.15	Professional		$151.36	$151.36	$269.15
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $50.12	Professional	26	$38.90	$38.90	$50.12
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $51.29 / $79.43	Facility	26	$37.15	$51.29	$79.43
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $213.80 / $398.11	Professional		$138.04	$213.80	$398.11
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $54.95 / $104.71	Professional	26	$36.31	$54.95	$104.71
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $151.36 / $281.84	Professional	TC	$100.00	$151.36	$281.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $257.04 / $426.58	Professional		$75.86	$257.04	$426.58
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $61.66	Facility	26	$37.15	$37.15	$61.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $177.83	Professional		$50.12	$77.62	$177.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $37.15 / $61.66	Professional	26	$36.31	$37.15	$61.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $100.00 / $151.36	Professional	TC	$97.72	$100.00	$151.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $371.54	Professional		$141.25	$194.98	$371.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $52.48 / $100.00	Professional	26	$35.48	$52.48	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $147.91 / $275.42	Professional	TC	$107.15	$147.91	$275.42

Pennsylvania rates for HCPCS 93976