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 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $67.61	Professional		$36.31	$41.69	$67.61
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.02 / $23.99	Professional	26	$10.96	$12.02	$23.99
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $28.84 / $41.69	Professional	TC	$23.99	$28.84	$41.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	26	$12.02	$12.02	$12.02
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $44.67 / $72.44	Professional		$42.66	$44.67	$72.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.59 / $21.38	Professional	26	$12.02	$12.59	$21.38
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $32.36 / $48.98	Professional	TC	$30.90	$32.36	$48.98
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.95 / $13.80 / $19.50	Facility	26	$2.95	$13.80	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $52.48 / $89.13	Professional		$41.69	$52.48	$89.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.49 / $25.70	Professional	26	$11.75	$15.49	$25.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $36.31 / $61.66	Professional	TC	$28.84	$36.31	$61.66
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $67.61 / $100.00	Professional		$51.29	$67.61	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $16.98 / $25.70	Professional	26	$12.59	$16.98	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $51.29 / $74.13	Professional	TC	$38.02	$51.29	$74.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $79.43	Professional		$41.69	$48.98	$79.43
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $13.80 / $21.38	Professional	26	$12.02	$13.80	$21.38
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $36.31 / $57.54	Professional	TC	$28.84	$36.31	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility	26	$12.02	$12.02	$12.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $41.69 / $67.61	Professional		$36.31	$41.69	$67.61
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.02 / $19.95	Professional	26	$10.72	$12.02	$19.95
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $29.51 / $51.29	Professional	TC	$23.99	$29.51	$51.29
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $104.71	Professional		$48.98	$74.13	$104.71
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $12.02 / $12.02	Facility	26	$11.22	$12.02	$12.02
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $37.15 / $107.15	Professional		$15.85	$37.15	$107.15
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $12.02 / $12.30	Professional	26	$11.75	$12.02	$12.30
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $25.70 / $28.84	Professional	TC	$25.12	$25.70	$28.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $45.71 / $77.62	Professional		$35.48	$45.71	$77.62
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.49 / $23.99	Professional	26	$10.47	$13.49	$23.99
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $31.62 / $56.23	Professional	TC	$23.99	$31.62	$56.23

Pennsylvania rates for HCPCS 94728