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 $21.38 / $28.18 / $45.71	Facility	26	$21.38	$28.18	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $100.00	Professional		$30.90	$38.90	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $28.84 / $85.11	Professional	26	$20.42	$28.84	$85.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $12.02 / $25.12	Professional	TC	$10.00	$12.02	$25.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $36.31 / $45.71	Professional		$28.84	$36.31	$45.71
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $21.88 / $33.11	Professional	26	$19.05	$21.88	$33.11
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $25.70	Professional	26	$22.91	$22.91	$25.70
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $35.48 / $57.54	Professional		$33.88	$35.48	$57.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $22.91 / $38.90	Professional	26	$21.88	$22.91	$38.90
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $12.59 / $19.50	Professional	TC	$12.02	$12.59	$19.50
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.37 / $25.12 / $35.48	Facility	26	$5.37	$25.12	$35.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $41.69 / $69.18	Professional		$33.11	$41.69	$69.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $27.54 / $44.67	Professional	26	$21.38	$27.54	$44.67
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $14.13 / $23.44	Professional	TC	$11.48	$14.13	$23.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $52.48 / $77.62	Professional		$38.90	$52.48	$77.62
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $30.90 / $46.77	Professional	26	$22.91	$30.90	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $20.42 / $29.51	Professional	TC	$15.49	$20.42	$29.51
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $40.74 / $61.66	Professional		$35.48	$40.74	$61.66
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $26.30 / $38.90	Professional	26	$22.39	$26.30	$38.90
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $14.79 / $22.91	Professional	TC	$11.75	$14.79	$22.91
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $40.74 / $50.12	Professional		$38.02	$40.74	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $26.30 / $33.11	Professional	26	$23.99	$26.30	$33.11
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	52	$12.02	$12.02	$12.02
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $40.74	Professional		$34.67	$34.67	$40.74
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $25.70	Professional	26	$22.91	$22.91	$25.70
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $28.18 / $45.71	Facility	26	$21.38	$28.18	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $75.86	Professional		$30.90	$39.81	$75.86
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $26.30 / $48.98	Professional	26	$20.89	$26.30	$48.98
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.00 / $13.18 / $26.30	Professional	TC	$10.00	$13.18	$26.30
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $70.79 / $147.91	Professional		$28.84	$70.79	$147.91
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $25.12	Facility	26	$21.38	$21.38	$25.12
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $28.18 / $60.26	Professional		$5.01	$28.18	$60.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $21.38 / $22.39	Professional	26	$20.89	$21.38	$22.39
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $10.96 / $12.30	Professional	TC	$10.96	$10.96	$12.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $36.31 / $63.10	Professional		$28.84	$36.31	$63.10
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $24.55 / $42.66	Professional	26	$19.05	$24.55	$42.66
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.12 / $12.30 / $20.89	Professional	TC	$9.12	$12.30	$20.89

Pennsylvania rates for HCPCS 94618