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 $30.20 / $33.11 / $56.23	Facility	26	$30.20	$33.11	$56.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $95.50 / $134.90	Professional		$79.43	$95.50	$134.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $33.11 / $79.43	Professional	26	$28.18	$33.11	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional	26	$26.92	$26.92	$26.92
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $91.20 / $154.88	Professional		$87.10	$91.20	$154.88
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $32.36 / $56.23	Professional	26	$31.62	$32.36	$56.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $35.48 / $51.29	Facility	26	$7.59	$35.48	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $112.20 / $194.98	Professional		$87.10	$112.20	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $64.57	Professional	26	$30.20	$40.74	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $194.98	Professional		$97.72	$131.83	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $42.66 / $64.57	Professional	26	$30.90	$42.66	$64.57
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $104.71 / $154.88	Professional		$87.10	$104.71	$154.88
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $53.70	Professional	26	$30.90	$37.15	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $38.02 / $57.54	Professional	26	$32.36	$38.02	$57.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $33.11 / $57.54	Facility	26	$30.20	$33.11	$57.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $95.50 / $169.82	Professional		$81.28	$95.50	$169.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $33.11 / $57.54	Professional	26	$28.84	$33.11	$57.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $147.91 / $199.53	Professional		$67.61	$147.91	$199.53
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $37.15	Facility	26	$30.90	$37.15	$37.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $83.18 / $309.03	Professional		$19.05	$83.18	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $30.90 / $37.15	Professional	26	$30.20	$30.90	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $100.00 / $169.82	Professional		$77.62	$100.00	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $35.48 / $61.66	Professional	26	$27.54	$35.48	$61.66

Pennsylvania rates for HCPCS 94617