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 $39.81 / $54.95 / $117.49	Facility	26	$39.81	$54.95	$117.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $281.84 / $660.69	Professional		$229.09	$281.84	$660.69
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $41.69 / $85.11	Professional	26	$33.88	$41.69	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $190.55 / $234.42 / $331.13	Professional	TC	$190.55	$234.42	$331.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $213.80 / $223.87	Professional		$213.80	$213.80	$223.87
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $245.47 / $426.58	Professional		$234.42	$245.47	$426.58
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.90 / $64.57	Professional	26	$38.02	$38.90	$64.57
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $204.17 / $363.08	Professional	TC	$199.53	$204.17	$363.08
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $309.03 / $501.19	Professional		$229.09	$309.03	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $46.77 / $74.13	Professional	26	$35.48	$46.77	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $269.15 / $426.58	Professional	TC	$204.17	$269.15	$426.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $371.54 / $512.86	Professional		$302.00	$371.54	$512.86
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 $257.04 / $316.23 / $436.52	Professional	TC	$257.04	$316.23	$436.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $295.12 / $407.38	Professional		$239.88	$295.12	$407.38
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $45.71 / $64.57	Professional	26	$37.15	$45.71	$64.57
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $251.19 / $338.84	Professional	TC	$204.17	$251.19	$338.84
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $41.69 / $44.67	Professional	26	$39.81	$41.69	$44.67
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $53.70 / $67.61	Facility	26	$36.31	$53.70	$67.61
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $281.84 / $549.54	Professional		$234.42	$281.84	$549.54
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $41.69 / $75.86	Professional	26	$34.67	$41.69	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $199.53 / $245.47 / $478.63	Professional	TC	$199.53	$245.47	$478.63
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $446.68 / $691.83	Professional		$380.19	$446.68	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $42.66	Facility	26	$37.15	$37.15	$42.66
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $234.42 / $588.84	Professional		$21.88	$234.42	$588.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $38.02 / $42.66	Professional	26	$37.15	$38.02	$42.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $199.53 / $239.88	Professional	TC	$194.98	$199.53	$239.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $288.40 / $524.81	Professional		$229.09	$288.40	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $43.65 / $77.62	Professional	26	$33.11	$43.65	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $194.98 / $251.19 / $457.09	Professional	TC	$194.98	$251.19	$457.09

Pennsylvania rates for HCPCS 93985