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 $104.71 / $426.58 / $2,344.23	Facility		$104.71	$426.58	$2,344.23
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $79.43	Facility	26	$33.11	$40.74	$79.43
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $316.23	Professional		$107.15	$141.25	$316.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $23.99 / $51.29	Professional	26	$13.18	$23.99	$51.29
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $114.82 / $204.17	Professional	TC	$95.50	$114.82	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $112.20	Professional		$93.33	$95.50	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $18.20 / $38.90	Professional	26	$17.38	$18.20	$38.90
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $3,388.44	Facility		$1,258.93	$1,258.93	$3,388.44
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $239.88	Professional		$112.20	$131.83	$239.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $23.99 / $41.69	Professional	26	$19.95	$23.99	$41.69
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $194.98	Professional	TC	$91.20	$109.65	$194.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $223.87 / $416.87	Facility		$204.17	$223.87	$416.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.62 / $26.30 / $37.15	Facility	26	$5.62	$26.30	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $346.74	Professional		$138.04	$204.17	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $22.91 / $45.71	Professional	26	$13.49	$22.91	$45.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $181.97 / $302.00	Professional	TC	$117.49	$181.97	$302.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $269.15	Professional		$138.04	$186.21	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $31.62 / $46.77	Professional	26	$23.44	$31.62	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $162.18 / $234.42	Professional	TC	$128.82	$162.18	$234.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $229.09	Professional		$114.82	$154.88	$229.09
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $23.44 / $37.15	Professional	26	$13.18	$23.44	$37.15
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $128.82 / $194.98	Professional	TC	$97.72	$128.82	$194.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $28.18 / $28.18	Professional	26	$19.95	$28.18	$28.18
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $151.36 / $3,388.44	Facility		$107.15	$151.36	$3,388.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $204.17 / $426.58	Facility		$186.21	$204.17	$426.58
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $34.67 / $75.86	Facility	26	$33.11	$34.67	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $154.88 / $309.03	Professional		$114.82	$154.88	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $26.92 / $50.12	Professional	26	$13.49	$26.92	$50.12
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $128.82 / $257.04	Professional	TC	$97.72	$128.82	$257.04
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $281.84 / $457.09	Professional		$151.36	$281.84	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $60.26 / $123.03	Facility		$50.12	$60.26	$123.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	26	$22.91	$22.91	$22.91
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $60.26 / $154.88	Professional		$27.54	$60.26	$154.88
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.44 / $23.99	Professional	26	$12.88	$23.44	$23.99
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $102.33 / $141.25	Professional	TC	$97.72	$102.33	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $295.12	Professional		$125.89	$165.96	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $25.12 / $44.67	Professional	26	$13.80	$25.12	$44.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $144.54 / $257.04	Professional	TC	$107.15	$144.54	$257.04

Pennsylvania rates for HCPCS 93990