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 $10.00 / $13.80 / $21.88	Facility	26	$10.00	$13.80	$21.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $66.07 / $169.82	Professional		$36.31	$66.07	$169.82
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $13.80 / $13.80 / $154.88	Professional	25	$13.80	$13.80	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $15.49 / $43.65	Professional	26	$9.55	$15.49	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $40.74 / $83.18	Professional	TC	$25.70	$40.74	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $60.26	Professional		$32.36	$38.02	$60.26
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $11.48 / $15.49	Professional	26	$8.91	$11.48	$15.49
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $56.23	Professional		$48.98	$48.98	$56.23
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $13.49	Professional	26	$10.47	$10.47	$13.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.90 / $104.71	Professional		$38.02	$38.90	$104.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $10.47 / $23.99	Professional	26	$10.00	$10.47	$23.99
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $28.84 / $81.28	Professional	TC	$27.54	$28.84	$81.28
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.45 / $11.48 / $16.60	Facility	26	$2.45	$11.48	$16.60
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $64.57 / $109.65	Professional		$39.81	$64.57	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.49 / $25.12	Professional	26	$10.00	$15.49	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $47.86 / $83.18	Professional	TC	$28.84	$47.86	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $61.66 / $89.13	Professional		$45.71	$61.66	$89.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $14.13 / $21.38	Professional	26	$10.47	$14.13	$21.38
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $67.61	Professional	TC	$35.48	$46.77	$67.61
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $89.13	Professional		$41.69	$56.23	$89.13
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $15.14 / $21.88	Professional	26	$10.47	$15.14	$21.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $40.74 / $64.57	Professional	TC	$31.62	$40.74	$64.57
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $47.86 / $67.61	Professional		$42.66	$47.86	$67.61
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.30 / $28.18	Professional	26	$11.22	$12.30	$28.18
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $32.36 / $32.36	Professional	TC	$30.20	$32.36	$32.36
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $56.23	Professional		$48.98	$48.98	$56.23
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $10.47 / $14.45	Professional	26	$10.47	$10.47	$14.45
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $12.88 / $22.39	Facility	26	$10.00	$12.88	$22.39
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $58.88 / $112.20	Professional		$36.31	$58.88	$112.20
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $25.70	Professional	26	$9.77	$13.80	$25.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $44.67 / $87.10	Professional	TC	$26.92	$44.67	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $83.18 / $131.83	Professional		$48.98	$83.18	$131.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $24.55 / $24.55	Facility	26	$10.00	$24.55	$24.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $25.12 / $75.86	Professional		$14.79	$25.12	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.00 / $24.55	Professional	26	$9.77	$10.00	$24.55
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $26.92 / $44.67	Professional	TC	$26.30	$26.92	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $107.15	Professional		$42.66	$60.26	$107.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $13.80 / $25.12	Professional	26	$10.00	$13.80	$25.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $46.77 / $85.11	Professional	TC	$31.62	$46.77	$85.11

Pennsylvania rates for HCPCS 94060