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 $114.82 / $338.84 / $870.96	Facility		$114.82	$338.84	$870.96
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $39.81 / $93.33	Facility	26	$23.99	$39.81	$93.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $309.03	Professional		$109.65	$147.91	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $30.20 / $72.44	Professional	26	$20.89	$30.20	$72.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $107.15 / $165.96	Professional	TC	$85.11	$107.15	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $812.83 / $1,862.09	Facility		$436.52	$812.83	$1,862.09
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $213.80	Professional		$100.00	$117.49	$213.80
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $23.99 / $45.71	Professional	26	$20.42	$23.99	$45.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $93.33 / $165.96	Professional	TC	$77.62	$93.33	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $229.09 / $316.23	Facility		$102.33	$229.09	$316.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.62 / $26.30 / $38.02	Facility	26	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $165.96 / $269.15	Professional		$109.65	$165.96	$269.15
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $27.54 / $46.77	Professional	26	$21.88	$27.54	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $141.25 / $229.09	Professional	TC	$89.13	$141.25	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $173.78 / $239.88	Professional		$141.25	$173.78	$239.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.88 / $47.86	Professional	26	$26.92	$33.88	$47.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $141.25 / $190.55	Professional	TC	$112.20	$141.25	$190.55
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $151.36 / $213.80	Professional		$109.65	$151.36	$213.80
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $28.84 / $39.81	Professional	26	$22.39	$28.84	$39.81
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $120.23 / $173.78	Professional	TC	$91.20	$120.23	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $338.84 / $489.78	Facility		$229.09	$338.84	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $144.54 / $190.55	Professional		$138.04	$144.54	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.92 / $323.59	Professional	26	$26.30	$26.92	$323.59
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $812.83 / $1,445.44	Facility		$457.09	$812.83	$1,445.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $257.04 / $707.95	Facility		$117.49	$257.04	$707.95
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $33.11 / $48.98	Facility	26	$22.39	$33.11	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $281.84	Professional		$109.65	$141.25	$281.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $27.54 / $52.48	Professional	26	$20.89	$27.54	$52.48
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $223.87	Professional	TC	$87.10	$114.82	$223.87
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $229.09 / $354.81	Professional		$165.96	$229.09	$354.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $52.48 / $134.90	Facility		$26.30	$52.48	$134.90
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $26.30	Facility	26	$22.39	$22.39	$26.30
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $52.48 / $134.90	Professional		$26.30	$52.48	$134.90
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.91 / $26.30	Professional	26	$22.39	$22.91	$26.30
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $89.13 / $107.15	Professional	TC	$87.10	$89.13	$107.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $309.03 / $354.81	Facility		$169.82	$309.03	$354.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $257.04	Professional		$104.71	$141.25	$257.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $52.48	Professional	26	$20.42	$27.54	$52.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $117.49 / $208.93	Professional	TC	$83.18	$117.49	$208.93

Pennsylvania rates for HCPCS 93979