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 / $22.91 / $38.90	Facility	26	$21.38	$22.91	$38.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $74.13 / $102.33	Professional		$60.26	$74.13	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $22.91 / $30.90	Professional	26	$19.95	$22.91	$30.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $66.07 / $112.20	Professional		$56.23	$66.07	$112.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $21.88 / $36.31	Professional	26	$18.62	$21.88	$36.31
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.25 / $24.55 / $34.67	Facility	26	$5.25	$24.55	$34.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $147.91	Professional		$64.57	$89.13	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $28.84 / $46.77	Professional	26	$20.89	$28.84	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $138.04	Professional		$70.79	$95.50	$138.04
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $28.84 / $43.65	Professional	26	$21.38	$28.84	$43.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $109.65	Professional		$64.57	$75.86	$109.65
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $25.12 / $37.15	Professional	26	$21.38	$25.12	$37.15
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $36.31	Professional	26	$23.44	$23.44	$36.31
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $22.91 / $38.90	Facility	26	$21.38	$22.91	$38.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $75.86 / $158.49	Professional		$60.26	$75.86	$158.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $22.91 / $50.12	Professional	26	$19.95	$22.91	$50.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $120.23 / $181.97	Professional		$42.66	$120.23	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $25.70 / $25.70	Facility	26	$21.88	$25.70	$25.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $72.44 / $186.21	Professional		$23.44	$72.44	$186.21
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.88 / $25.70	Professional	26	$21.38	$21.88	$25.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $141.25	Professional		$61.66	$79.43	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.12 / $42.66	Professional	26	$19.50	$25.12	$42.66

Pennsylvania rates for HCPCS 94619