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 $123.03 / $177.83 / $363.08	Facility	26	$123.03	$177.83	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $741.31 / $1,412.54	Professional		$575.44	$741.31	$1,412.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $177.83 / $446.68	Professional	26	$112.20	$177.83	$446.68
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $245.47 / $1,513.56	Professional	52	$28.18	$245.47	$1,513.56
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $588.84 / $1,148.15	Professional	TC	$446.68	$588.84	$1,148.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $575.44 / $794.33	Professional		$549.54	$575.44	$794.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $131.83 / $218.78	Professional	26	$109.65	$131.83	$218.78
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $134.90	Professional	26	$120.23	$120.23	$134.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $741.31 / $1,230.27	Professional		$645.65	$741.31	$1,230.27
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $154.88 / $251.19	Professional	26	$123.03	$154.88	$251.19
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $512.86 / $588.84 / $977.24	Professional	TC	$512.86	$588.84	$977.24
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $851.14 / $1,348.96	Professional		$588.84	$851.14	$1,348.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $173.78 / $275.42	Professional	26	$112.20	$173.78	$275.42
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $676.08 / $1,122.02	Professional	TC	$457.09	$676.08	$1,122.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $977.24 / $1,380.38	Professional		$602.56	$977.24	$1,380.38
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $177.83 / $239.88	Professional	26	$117.49	$177.83	$239.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $575.44 / $870.96 / $1,148.15	Professional	TC	$575.44	$870.96	$1,148.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $602.56 / $1,148.15	Professional		$575.44	$602.56	$1,148.15
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $218.78	Professional	26	$134.90	$134.90	$218.78
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $446.68 / $467.74 / $891.25	Professional	TC	$446.68	$467.74	$891.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $691.83 / $851.14	Professional		$138.04	$691.83	$851.14
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $173.78 / $251.19	Professional	26	$128.82	$173.78	$251.19
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $524.81 / $575.44 / $575.44	Professional	TC	$524.81	$575.44	$575.44
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $120.23 / $120.23 / $138.04	Professional	26	$120.23	$120.23	$138.04
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $138.04 / $229.09	Facility	26	$123.03	$138.04	$229.09
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $776.25 / $1,412.54	Professional		$588.84	$776.25	$1,412.54
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $144.54 / $269.15	Professional	26	$114.82	$144.54	$269.15
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $467.74 / $630.96 / $1,148.15	Professional	TC	$467.74	$630.96	$1,148.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $870.96 / $1,348.96	Professional		$218.78	$870.96	$1,348.96
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $114.82 / $114.82 / $199.53	Facility	26	$114.82	$114.82	$199.53
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $575.44 / $630.96	Professional		$169.82	$575.44	$630.96
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $114.82 / $120.23	Professional	26	$112.20	$114.82	$120.23
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $457.09 / $467.74 / $512.86	Professional	TC	$457.09	$467.74	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $758.58 / $1,174.90	Professional		$524.81	$758.58	$1,174.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $154.88 / $239.88	Professional	26	$102.33	$154.88	$239.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $426.58 / $602.56 / $954.99	Professional	TC	$426.58	$602.56	$954.99

Pennsylvania rates for HCPCS 95810