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 $3.02 / $3.63 / $9.77	Facility	26	$3.02	$3.63	$9.77
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.95 / $37.15	Professional		$12.88	$19.95	$37.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.98 / $13.18	Professional	26	$2.00	$3.98	$13.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $15.85 / $26.30	Professional	TC	$10.96	$15.85	$26.30
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $33.11	Professional		$19.05	$19.05	$33.11
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $3.89 / $4.68	Professional	26	$3.89	$3.89	$4.68
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $40.74 / $60.26	Professional		$22.39	$40.74	$60.26
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.34 / $2.75 / $8.91	Professional	26	$2.34	$2.75	$8.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $12.30 / $32.36	Professional	TC	$10.47	$12.30	$32.36
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $25.70 / $43.65	Professional		$15.14	$25.70	$43.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $5.75 / $9.55	Professional	26	$2.69	$5.75	$9.55
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $19.50 / $33.88	Professional	TC	$12.30	$19.50	$33.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $23.44 / $33.88	Professional		$17.78	$23.44	$33.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.88 / $3.89 / $5.50	Professional	26	$2.88	$3.89	$5.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $19.50 / $28.18	Professional	TC	$14.79	$19.50	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $21.88 / $33.88	Professional		$15.49	$21.88	$33.88
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.69 / $4.37 / $7.41	Professional	26	$2.69	$4.37	$7.41
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $16.60 / $25.12	Professional	TC	$12.88	$16.60	$25.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $4.47 / $10.23	Professional	26	$2.95	$4.47	$10.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $33.11	Professional		$19.05	$19.05	$33.11
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $3.89 / $4.79	Professional	26	$3.89	$3.89	$4.79
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $3.63 / $9.77	Facility	26	$3.02	$3.63	$9.77
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $22.39 / $40.74	Professional		$12.88	$22.39	$40.74
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.98 / $8.13	Professional	26	$2.00	$3.98	$8.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $18.20 / $32.36	Professional	TC	$10.96	$18.20	$32.36
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $31.62 / $53.70	Professional		$22.91	$31.62	$53.70
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $2.63 / $9.33	Facility	26	$2.63	$2.63	$9.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $13.80 / $23.44	Professional		$11.22	$13.80	$23.44
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.51 / $2.69 / $2.75	Professional	26	$2.51	$2.69	$2.75
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.22 / $11.48 / $12.59	Professional	TC	$11.22	$11.48	$12.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $22.91 / $41.69	Professional		$16.60	$22.91	$41.69
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.95 / $4.90 / $8.71	Professional	26	$2.95	$4.90	$8.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $18.20 / $32.36	Professional	TC	$12.88	$18.20	$32.36

Pennsylvania rates for HCPCS 94200