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 $10.00 / $14.45 / $16.98	Facility	26	$10.00	$14.45	$16.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $52.48 / $79.43	Professional		$42.66	$52.48	$79.43
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $47.86 / $85.11	Professional		$40.74	$47.86	$85.11
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.29 / $10.72 / $15.14	Facility	26	$2.29	$10.72	$15.14
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $72.44 / $138.04	Professional		$47.86	$72.44	$138.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $102.33	Professional		$53.70	$70.79	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $70.79 / $117.49	Professional		$47.86	$70.79	$117.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $16.98 / $20.42	Facility	26	$10.00	$16.98	$20.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $52.48 / $83.18	Professional		$42.66	$52.48	$83.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $97.72 / $128.82	Professional		$56.23	$97.72	$128.82
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $9.33 / $10.47	Facility	26	$9.33	$9.33	$10.47
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $35.48 / $69.18	Professional		$20.42	$35.48	$69.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $58.88 / $112.20	Professional		$43.65	$58.88	$112.20

Pennsylvania rates for HCPCS 94681