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 Typical Low / Median / Typical High $162.18 / $602.56 / $1,258.93	Facility		$162.18	$602.56	$1,258.93
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $60.26 / $112.20	Facility	26	$41.69	$60.26	$112.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $213.80 / $478.63	Professional		$147.91	$213.80	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $147.91	Professional	26	$38.02	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $91.20 / $181.97 / $218.78	Professional	52	$91.20	$181.97	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $131.83 / $223.87	Professional	TC	$104.71	$131.83	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $128.82 / $177.83	Professional		$109.65	$128.82	$177.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $75.86	Professional	26	$36.31	$38.02	$75.86
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	52	$33.88	$33.88	$33.88
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $288.40 / $3,467.37	Facility		$151.36	$288.40	$3,467.37
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $186.21	Professional		$173.78	$173.78	$186.21
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $44.67	Professional	26	$41.69	$41.69	$44.67
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $134.90 / $144.54	Professional	TC	$120.23	$134.90	$144.54
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $128.82 / $354.81	Professional		$125.89	$128.82	$354.81
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $102.33	Professional	26	$38.90	$39.81	$102.33
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $89.13 / $245.47	Professional	TC	$85.11	$89.13	$245.47
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $229.09 / $281.84	Facility		$144.54	$229.09	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $234.42 / $363.08	Professional		$128.82	$234.42	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $67.61 / $97.72	Professional	26	$38.02	$67.61	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $169.82 / $251.19	Professional	TC	$93.33	$169.82	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $218.78 / $295.12	Professional		$144.54	$218.78	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $57.54 / $77.62	Professional	26	$38.02	$57.54	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $162.18 / $213.80	Professional	TC	$107.15	$162.18	$213.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $190.55 / $295.12	Professional		$138.04	$190.55	$295.12
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $83.18	Professional	26	$38.90	$54.95	$83.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $138.04 / $213.80	Professional	TC	$95.50	$138.04	$213.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $426.58 / $870.96	Facility		$190.55	$426.58	$870.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $288.40	Professional		$144.54	$144.54	$288.40
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $57.54	Professional	26	$42.66	$42.66	$57.54
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $21.38 / $72.44 / $72.44	Professional	52	$21.38	$72.44	$72.44
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $309.03 / $3,467.37	Facility		$151.36	$309.03	$3,467.37
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $199.53	Professional		$173.78	$173.78	$199.53
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $53.70	Professional	26	$41.69	$41.69	$53.70
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $134.90 / $144.54	Professional	TC	$120.23	$134.90	$144.54
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $1,995.26	Facility		$169.82	$323.59	$1,995.26
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $70.79	Facility	26	$41.69	$57.54	$70.79
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $194.98 / $354.81	Professional		$147.91	$194.98	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $52.48 / $91.20	Professional	26	$39.81	$52.48	$91.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $141.25 / $257.04	Professional	TC	$109.65	$141.25	$257.04
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $426.58	Facility		$338.84	$338.84	$426.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $426.58	Professional		$239.88	$239.88	$426.58
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $100.00 / $186.21	Facility		$51.29	$100.00	$186.21
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $53.70 / $53.70	Facility	26	$39.81	$53.70	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $100.00 / $346.74	Professional		$51.29	$100.00	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $53.70	Professional	26	$38.90	$39.81	$53.70
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $102.33 / $131.83	Professional	TC	$100.00	$102.33	$131.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $630.96 / $724.44	Facility		$389.05	$630.96	$724.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $204.17 / $323.59	Professional		$134.90	$204.17	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $56.23 / $87.10	Professional	26	$36.31	$56.23	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $144.54 / $234.42	Professional	TC	$100.00	$144.54	$234.42

Pennsylvania rates for HCPCS 95800