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 $7.94 / $11.22 / $16.98	Facility	26	$7.94	$11.22	$16.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $44.67 / $109.65	Professional		$25.70	$44.67	$109.65
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $10.96 / $46.77 / $46.77	Professional	25	$10.96	$46.77	$46.77
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $12.59 / $33.11	Professional	26	$7.59	$12.59	$33.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.92 / $50.12	Professional	TC	$16.98	$26.92	$50.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $28.18 / $45.71	Professional		$23.99	$28.18	$45.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $8.91 / $15.14	Professional	26	$7.41	$8.91	$15.14
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $33.11	Professional		$30.90	$30.90	$33.11
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $9.55	Professional	26	$8.32	$8.32	$9.55
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $27.54 / $69.18	Professional		$27.54	$27.54	$69.18
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.32 / $15.85	Professional	26	$8.13	$8.32	$15.85
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $19.05 / $46.77	Professional	TC	$18.62	$19.05	$46.77
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $39.81 / $66.07	Professional		$27.54	$39.81	$66.07
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.00 / $17.38	Professional	26	$7.76	$10.00	$17.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.84 / $48.98	Professional	TC	$19.05	$28.84	$48.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $41.69 / $61.66	Professional		$31.62	$41.69	$61.66
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.48 / $17.38	Professional	26	$8.51	$11.48	$17.38
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.20 / $43.65	Professional	TC	$22.91	$30.20	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $34.67 / $54.95	Professional		$27.54	$34.67	$54.95
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $9.77 / $14.45	Professional	26	$8.13	$9.77	$14.45
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $24.55 / $38.90	Professional	TC	$19.50	$24.55	$38.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $33.88 / $41.69	Professional		$29.51	$33.88	$41.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.00 / $18.62	Professional	26	$8.91	$10.00	$18.62
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	TC	$25.12	$25.12	$25.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $37.15	Professional		$30.90	$30.90	$37.15
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $10.96	Professional	26	$8.32	$8.32	$10.96
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $11.22 / $16.98	Facility	26	$7.94	$11.22	$16.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $37.15 / $67.61	Professional		$25.12	$37.15	$67.61
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $9.77 / $18.20	Professional	26	$7.41	$9.77	$18.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $28.18 / $50.12	Professional	TC	$17.38	$28.18	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $56.23 / $75.86	Professional		$33.11	$56.23	$75.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $16.22 / $16.22	Facility	26	$7.94	$16.22	$16.22
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $19.95 / $54.95	Professional		$10.96	$19.95	$54.95
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $7.94 / $16.22	Professional	26	$7.76	$7.94	$16.22
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $17.78 / $26.92	Professional	TC	$17.38	$17.78	$26.92
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $36.31 / $66.07	Professional		$27.54	$36.31	$66.07
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $9.12 / $16.22	Professional	26	$6.92	$9.12	$16.22
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $27.54 / $48.98	Professional	TC	$19.95	$27.54	$48.98

Pennsylvania rates for HCPCS 94010