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 $11.48 / $16.22 / $24.55	Facility	26	$11.48	$16.22	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $151.36	Professional		$50.12	$64.57	$151.36
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.98 / $51.29	Professional	26	$10.96	$16.98	$51.29
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $45.71 / $89.13	Professional	TC	$38.02	$45.71	$89.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $56.23 / $95.50	Professional		$47.86	$56.23	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $12.30 / $18.20	Professional	26	$10.23	$12.30	$18.20
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Professional	52	$13.80	$13.80	$13.80
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $60.26	Professional		$57.54	$57.54	$60.26
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $13.80	Professional	26	$12.30	$12.30	$13.80
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $56.23 / $91.20	Professional		$54.95	$56.23	$91.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $12.30 / $20.89	Professional	26	$11.75	$12.30	$20.89
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $44.67 / $72.44	Professional	TC	$42.66	$44.67	$72.44
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $67.61 / $114.82	Professional		$53.70	$67.61	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $15.14 / $25.12	Professional	26	$11.48	$15.14	$25.12
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $52.48 / $87.10	Professional	TC	$40.74	$52.48	$87.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $131.83	Professional		$67.61	$91.20	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $16.60 / $25.12	Professional	26	$12.02	$16.60	$25.12
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $74.13 / $107.15	Professional	TC	$56.23	$74.13	$107.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $104.71	Professional		$52.48	$64.57	$104.71
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $13.49 / $20.42	Professional	26	$11.75	$13.49	$20.42
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $52.48 / $83.18	Professional	TC	$39.81	$52.48	$83.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $67.61 / $81.28	Professional		$63.10	$67.61	$81.28
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $14.45 / $19.95	Professional	26	$12.88	$14.45	$19.95
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $60.26	Professional		$57.54	$57.54	$60.26
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $14.79	Professional	26	$12.30	$12.30	$14.79
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $16.22 / $24.55	Facility	26	$11.48	$16.22	$24.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $125.89	Professional		$50.12	$64.57	$125.89
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $25.70	Professional	26	$10.96	$14.13	$25.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $50.12 / $100.00	Professional	TC	$38.90	$50.12	$100.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $97.72 / $141.25	Professional		$63.10	$97.72	$141.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $11.75 / $11.75	Facility	26	$11.22	$11.75	$11.75
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $32.36 / $56.23	Professional		$4.37	$32.36	$56.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $11.75 / $12.02	Professional	26	$11.48	$11.75	$12.02
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $39.81 / $44.67	Professional	TC	$38.90	$39.81	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $58.88 / $102.33	Professional		$45.71	$58.88	$102.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.18 / $24.55	Professional	26	$10.23	$13.18	$24.55
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $45.71 / $79.43	Professional	TC	$35.48	$45.71	$79.43

Pennsylvania rates for HCPCS 94726