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 / $707.95 / $1,513.56	Facility		$245.47	$707.95	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $64.57 / $138.04	Facility	26	$39.81	$64.57	$138.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $234.42 / $478.63	Professional		$165.96	$234.42	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $48.98 / $102.33	Professional	26	$33.88	$48.98	$102.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $165.96 / $281.84	Professional	TC	$128.82	$165.96	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $141.25 / $323.59	Professional		$134.90	$141.25	$323.59
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $58.88	Professional	26	$30.90	$37.15	$58.88
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $1,174.90 / $8,128.31	Facility		$630.96	$1,174.90	$8,128.31
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $223.87	Professional		$199.53	$199.53	$223.87
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $51.29	Professional	26	$39.81	$39.81	$51.29
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 $173.78 / $194.98 / $338.84	Professional		$173.78	$194.98	$338.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $40.74 / $74.13	Professional	26	$38.02	$40.74	$74.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $151.36 / $269.15	Professional	TC	$134.90	$151.36	$269.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $389.05 / $616.60	Facility		$165.96	$389.05	$616.60
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $245.47 / $389.05	Professional		$165.96	$245.47	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $42.66 / $74.13	Professional	26	$32.36	$42.66	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $204.17 / $331.13	Professional	TC	$134.90	$204.17	$331.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $269.15 / $371.54	Professional		$218.78	$269.15	$371.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $54.95 / $77.62	Professional	26	$43.65	$54.95	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $213.80 / $295.12	Professional	TC	$173.78	$213.80	$295.12
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $213.80 / $295.12	Professional		$125.89	$213.80	$295.12
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $64.57	Professional	26	$31.62	$43.65	$64.57
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $173.78 / $234.42	Professional	TC	$93.33	$173.78	$234.42
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $691.83 / $1,023.29	Facility		$478.63	$691.83	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Facility	26	$56.23	$56.23	$56.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $234.42 / $295.12	Professional		$213.80	$234.42	$295.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $43.65 / $50.12	Professional	26	$39.81	$43.65	$50.12
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Professional	TC	$177.83	$177.83	$177.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $1,202.26 / $3,890.45	Facility		$323.59	$1,202.26	$3,890.45
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $229.09	Professional		$199.53	$199.53	$229.09
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $51.29	Professional	26	$39.81	$39.81	$51.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $562.34 / $1,288.25	Facility		$199.53	$562.34	$1,288.25
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 $169.82 / $229.09 / $426.58	Professional		$169.82	$229.09	$426.58
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $83.18	Professional	26	$33.88	$45.71	$83.18
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $181.97 / $338.84	Professional	TC	$134.90	$181.97	$338.84
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $346.74 / $512.86	Professional		$251.19	$346.74	$512.86
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $162.18 / $173.78	Facility		$81.28	$162.18	$173.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $38.90	Facility	26	$37.15	$37.15	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $316.23	Professional		$79.43	$117.49	$316.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $37.15 / $38.90	Professional	26	$35.48	$37.15	$38.90
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $134.90 / $147.91	Professional	TC	$131.83	$134.90	$147.91
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 $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $42.66 / $83.18	Professional	26	$31.62	$42.66	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $177.83 / $316.23	Professional	TC	$128.82	$177.83	$316.23

Pennsylvania rates for HCPCS 93978