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 $61.66 / $134.90 / $269.15	Facility	26	$61.66	$134.90	$269.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $416.87 / $630.96	Professional		$354.81	$416.87	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $61.66 / $89.13	Professional	26	$52.48	$61.66	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $354.81 / $549.54	Professional	TC	$302.00	$354.81	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional	26	$61.66	$61.66	$61.66
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $416.87 / $794.33	Professional		$398.11	$416.87	$794.33
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $60.26 / $114.82	Professional	26	$57.54	$60.26	$114.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $338.84 / $354.81 / $691.83	Professional	TC	$338.84	$354.81	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $575.44 / $870.96	Professional		$380.19	$575.44	$870.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $83.18 / $131.83	Professional	26	$56.23	$83.18	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $501.19 / $758.58	Professional	TC	$323.59	$501.19	$758.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $691.83 / $912.01	Professional		$457.09	$691.83	$912.01
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $89.13 / $120.23	Professional	26	$58.88	$89.13	$120.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $398.11 / $602.56 / $794.33	Professional	TC	$398.11	$602.56	$794.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $933.25	Professional		$416.87	$537.03	$933.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $81.28 / $117.49	Professional	26	$60.26	$81.28	$117.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $363.08 / $457.09 / $794.33	Professional	TC	$363.08	$457.09	$794.33
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $61.66 / $134.90 / $134.90	Facility	26	$61.66	$134.90	$134.90
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $436.52 / $794.33	Professional		$371.54	$436.52	$794.33
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $64.57 / $117.49	Professional	26	$54.95	$64.57	$117.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $316.23 / $371.54 / $676.08	Professional	TC	$316.23	$371.54	$676.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $602.56 / $954.99	Professional		$109.65	$602.56	$954.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility	26	$57.54	$57.54	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $316.23 / $407.38	Professional		$154.88	$316.23	$407.38
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $57.54 / $58.88	Professional	26	$56.23	$57.54	$58.88
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $309.03 / $338.84	Professional	TC	$302.00	$309.03	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $501.19 / $794.33	Professional		$346.74	$501.19	$794.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $75.86 / $120.23	Professional	26	$53.70	$75.86	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $426.58 / $691.83	Professional	TC	$302.00	$426.58	$691.83

Pennsylvania rates for HCPCS 95807