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 $8.51 / $12.02 / $18.20	Facility	26	$8.51	$12.02	$18.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $66.07 / $158.49	Professional		$51.29	$66.07	$158.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.72 / $31.62	Professional	26	$7.94	$10.72	$31.62
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $8.13 / $8.32 / $39.81	Professional	52	$8.13	$8.32	$39.81
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $52.48 / $97.72	Professional	TC	$42.66	$52.48	$97.72
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 $7.94 / $10.00 / $14.13	Professional	26	$7.94	$10.00	$14.13
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 $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $10.96	Professional	26	$9.12	$9.12	$10.96
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $56.23 / $93.33	Professional		$53.70	$56.23	$93.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $9.12 / $15.49	Professional	26	$8.71	$9.12	$15.49
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $46.77 / $79.43	Professional	TC	$44.67	$46.77	$79.43
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $69.18 / $114.82	Professional		$53.70	$69.18	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $10.72 / $17.78	Professional	26	$8.51	$10.72	$17.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $57.54 / $97.72	Professional	TC	$44.67	$57.54	$97.72
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $89.13 / $131.83	Professional		$67.61	$89.13	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $12.88 / $19.50	Professional	26	$9.55	$12.88	$19.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $77.62 / $112.20	Professional	TC	$57.54	$77.62	$112.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $102.33	Professional		$52.48	$64.57	$102.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $10.00 / $15.85	Professional	26	$8.51	$10.00	$15.85
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $54.95 / $87.10	Professional	TC	$43.65	$54.95	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $63.10 / $83.18	Professional		$57.54	$63.10	$83.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.47 / $16.60	Professional	26	$9.77	$10.47	$16.60
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $52.48 / $53.70	Professional	TC	$50.12	$52.48	$53.70
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $66.07	Professional		$63.10	$63.10	$66.07
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $9.12 / $11.48	Professional	26	$9.12	$9.12	$11.48
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $11.22 / $18.20	Facility	26	$8.51	$11.22	$18.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $67.61 / $128.82	Professional		$52.48	$67.61	$128.82
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.47 / $19.05	Professional	26	$7.76	$10.47	$19.05
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $57.54 / $112.20	Professional	TC	$44.67	$57.54	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $100.00 / $147.91	Professional		$63.10	$100.00	$147.91
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $7.41 / $8.71	Facility	26	$7.41	$7.41	$8.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $53.70 / $323.59	Professional		$18.20	$53.70	$323.59
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $8.71 / $8.91	Professional	26	$7.41	$8.71	$8.91
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $44.67 / $50.12	Professional	TC	$38.90	$44.67	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $61.66 / $104.71	Professional		$47.86	$61.66	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $9.77 / $17.78	Professional	26	$7.59	$9.77	$17.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $50.12 / $89.13	Professional	TC	$39.81	$50.12	$89.13

Pennsylvania rates for HCPCS 94729