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 $64.57 / $100.00 / $213.80	Facility	26	$64.57	$100.00	$213.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $165.96 / $309.03	Professional		$141.25	$165.96	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $87.10 / $213.80	Professional	26	$64.57	$87.10	$213.80
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $147.91	Professional		$144.54	$144.54	$147.91
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional	26	$123.03	$123.03	$123.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $77.62	Professional	26	$69.18	$69.18	$77.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $158.49 / $257.04	Professional		$134.90	$158.49	$257.04
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $69.18 / $114.82	Professional	26	$58.88	$69.18	$114.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.22 / $75.86 / $109.65	Facility	26	$16.22	$75.86	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $309.03	Professional		$147.91	$186.21	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $83.18 / $134.90	Professional	26	$64.57	$83.18	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $234.42 / $346.74	Professional		$173.78	$234.42	$346.74
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $93.33 / $141.25	Professional	26	$69.18	$93.33	$141.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $177.83 / $275.42	Professional		$147.91	$177.83	$275.42
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $79.43 / $117.49	Professional	26	$67.61	$79.43	$117.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $173.78 / $199.53	Professional		$74.13	$173.78	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $81.28 / $114.82	Professional	26	$45.71	$81.28	$114.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $173.78	Professional		$162.18	$162.18	$173.78
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $69.18 / $83.18	Professional	26	$69.18	$69.18	$83.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $64.57 / $100.00 / $144.54	Facility	26	$64.57	$100.00	$144.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $354.81	Professional		$144.54	$181.97	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $75.86 / $154.88	Professional	26	$61.66	$75.86	$154.88
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $295.12 / $389.05	Professional		$169.82	$295.12	$389.05
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $70.79	Facility	26	$66.07	$66.07	$70.79
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $144.54 / $323.59	Professional		$39.81	$144.54	$323.59
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $66.07 / $69.18	Professional	26	$64.57	$66.07	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $169.82 / $295.12	Professional		$128.82	$169.82	$295.12
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $75.86 / $128.82	Professional	26	$57.54	$75.86	$128.82

Pennsylvania rates for HCPCS 94621