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 $12.02 / $16.22 / $24.55	Facility	26	$12.02	$16.22	$24.55
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $46.77 / $93.33	Professional		$38.90	$46.77	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.13 / $30.90	Professional	26	$10.96	$14.13	$30.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $57.54	Professional	TC	$28.18	$33.11	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $41.69 / $54.95	Professional		$38.02	$41.69	$54.95
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.18 / $18.20	Professional	26	$10.72	$13.18	$18.20
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $48.98	Professional		$45.71	$45.71	$48.98
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 $43.65 / $45.71 / $74.13	Professional		$43.65	$45.71	$74.13
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 $31.62 / $33.11 / $53.70	Professional	TC	$31.62	$33.11	$53.70
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 $42.66 / $53.70 / $91.20	Professional		$42.66	$53.70	$91.20
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 $30.90 / $38.90 / $64.57	Professional	TC	$30.90	$38.90	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $102.33	Professional		$52.48	$70.79	$102.33
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 $40.74 / $53.70 / $77.62	Professional	TC	$40.74	$53.70	$77.62
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $51.29 / $81.28	Professional		$41.69	$51.29	$81.28
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 $28.84 / $38.02 / $61.66	Professional	TC	$28.84	$38.02	$61.66
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $50.12 / $54.95	Professional		$45.71	$50.12	$54.95
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $13.49 / $19.95	Professional	26	$12.59	$13.49	$19.95
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $37.15 / $37.15	Professional	TC	$34.67	$37.15	$37.15
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $45.71 / $48.98	Professional		$45.71	$45.71	$48.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $13.80	Professional	26	$12.30	$12.30	$13.80
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $16.22 / $24.55	Facility	26	$12.02	$16.22	$24.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $50.12 / $100.00	Professional		$39.81	$50.12	$100.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.80 / $25.70	Professional	26	$10.96	$13.80	$25.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $36.31 / $74.13	Professional	TC	$28.84	$36.31	$74.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $77.62 / $112.20	Professional		$48.98	$77.62	$112.20
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 $12.30 / $22.39 / $75.86	Professional		$12.30	$22.39	$75.86
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 $29.51 / $30.20 / $33.11	Professional	TC	$29.51	$30.20	$33.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $81.28	Professional		$37.15	$47.86	$81.28
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.18 / $23.44	Professional	26	$10.23	$13.18	$23.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $58.88	Professional	TC	$26.30	$34.67	$58.88

Pennsylvania rates for HCPCS 94727