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 $45.71 / $83.18 / $169.82	Facility	26	$45.71	$83.18	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $169.82 / $501.19	Professional		$91.20	$169.82	$501.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $63.10 / $177.83	Professional	26	$42.66	$63.10	$177.83
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $10.23 / $93.33 / $630.96	Professional	52	$10.23	$93.33	$630.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $74.13 / $186.21	Professional	TC	$45.71	$74.13	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $95.50 / $128.82	Professional		$87.10	$95.50	$128.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $52.48 / $66.07	Professional	26	$40.74	$52.48	$66.07
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	52	$25.12	$25.12	$25.12
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $104.71 / $194.98	Professional		$93.33	$104.71	$194.98
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $52.48	Professional	26	$45.71	$45.71	$52.48
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $97.72 / $302.00	Professional		$93.33	$97.72	$302.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $44.67 / $112.20	Professional	26	$43.65	$44.67	$112.20
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $52.48 / $186.21	Professional	TC	$50.12	$52.48	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $208.93 / $302.00	Professional		$89.13	$208.93	$302.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $79.43 / $114.82	Professional	26	$41.69	$79.43	$114.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $125.89 / $186.21	Professional	TC	$47.86	$125.89	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $158.49 / $213.80	Professional		$104.71	$158.49	$213.80
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $67.61 / $91.20	Professional	26	$44.67	$67.61	$91.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $91.20 / $123.03	Professional	TC	$60.26	$91.20	$123.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $223.87	Professional		$100.00	$151.36	$223.87
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $66.07 / $100.00	Professional	26	$44.67	$66.07	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $85.11 / $138.04	Professional	TC	$54.95	$85.11	$138.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $53.70 / $91.20	Professional	26	$47.86	$53.70	$91.20
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $104.71 / $194.98	Professional		$93.33	$104.71	$194.98
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $52.48	Professional	26	$45.71	$45.71	$52.48
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $51.29 / $134.90	Facility	26	$45.71	$51.29	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $309.03	Professional		$93.33	$147.91	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $60.26 / $112.20	Professional	26	$44.67	$60.26	$112.20
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $87.10 / $190.55	Professional	TC	$46.77	$87.10	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $245.47 / $426.58	Professional		$181.97	$245.47	$426.58
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $83.18 / $83.18	Facility	26	$42.66	$83.18	$83.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $223.87 / $309.03	Professional		$87.10	$223.87	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $42.66 / $83.18	Professional	26	$41.69	$42.66	$83.18
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $45.71 / $138.04	Professional	TC	$44.67	$45.71	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $158.49 / $269.15	Professional		$97.72	$158.49	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $63.10 / $100.00	Professional	26	$39.81	$63.10	$100.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $91.20 / $169.82	Professional	TC	$57.54	$91.20	$169.82

Pennsylvania rates for HCPCS 95806