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 $14.13 / $21.38 / $44.67	Facility	26	$14.13	$21.38	$44.67
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $43.65 / $114.82	Professional		$34.67	$43.65	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.49 / $40.74	Professional	26	$12.02	$15.49	$40.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.12 / $38.90	Professional	TC	$20.89	$25.12	$38.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $37.15 / $58.88	Professional		$30.90	$37.15	$58.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $21.88	Professional	26	$10.96	$12.88	$21.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $46.77	Professional		$40.74	$40.74	$46.77
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $16.60	Professional	26	$14.79	$14.79	$16.60
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $39.81 / $64.57	Professional		$38.02	$39.81	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $14.79 / $27.54	Professional	26	$14.13	$14.79	$27.54
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $24.55 / $39.81	Professional	TC	$23.99	$24.55	$39.81
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $45.71 / $75.86	Professional		$37.15	$45.71	$75.86
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $17.78 / $28.84	Professional	26	$13.49	$17.78	$28.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $28.18 / $46.77	Professional	TC	$22.39	$28.18	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $87.10	Professional		$44.67	$58.88	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $19.50 / $29.51	Professional	26	$14.45	$19.50	$29.51
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $39.81 / $57.54	Professional	TC	$30.20	$39.81	$57.54
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $44.67 / $69.18	Professional		$35.48	$44.67	$69.18
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $16.98 / $25.12	Professional	26	$14.45	$16.98	$25.12
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $44.67	Professional	TC	$20.42	$28.84	$44.67
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $43.65 / $56.23	Professional		$42.66	$43.65	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $15.49 / $20.89	Professional	26	$14.79	$15.49	$20.89
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $46.77	Professional		$40.74	$40.74	$46.77
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $16.60	Professional	26	$14.79	$14.79	$16.60
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $21.38 / $44.67	Facility	26	$14.13	$21.38	$44.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $42.66 / $87.10	Professional		$34.67	$42.66	$87.10
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.85 / $31.62	Professional	26	$12.88	$15.85	$31.62
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $26.92 / $56.23	Professional	TC	$21.88	$26.92	$56.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $70.79 / $93.33	Professional		$41.69	$70.79	$93.33
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.13 / $14.13 / $17.78	Facility	26	$14.13	$14.13	$17.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $19.05 / $50.12	Professional		$13.80	$19.05	$50.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $14.13 / $17.78	Professional	26	$13.49	$14.13	$17.78
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.91 / $29.51	Professional	TC	$22.39	$22.91	$29.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $41.69 / $72.44	Professional		$32.36	$41.69	$72.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $27.54	Professional	26	$12.02	$15.85	$27.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $25.70 / $44.67	Professional	TC	$19.50	$25.70	$44.67

Pennsylvania rates for HCPCS 94375