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 $87.10 / $114.82 / $177.83	Facility	26	$87.10	$114.82	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $426.58 / $707.95	Professional		$363.08	$426.58	$707.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $117.49 / $257.04	Professional	26	$79.43	$117.49	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $331.13 / $562.34	Professional	TC	$281.84	$331.13	$562.34
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $549.54	Professional		$457.09	$457.09	$549.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $81.28 / $128.82	Professional	26	$79.43	$81.28	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $512.86	Professional		$446.68	$446.68	$512.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $107.15	Professional	26	$89.13	$89.13	$107.15
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $446.68 / $724.44	Professional		$426.58	$446.68	$724.44
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $87.10 / $181.97	Professional	26	$83.18	$87.10	$181.97
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $302.00 / $354.81 / $588.84	Professional	TC	$302.00	$354.81	$588.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $467.74 / $851.14	Professional		$295.12	$467.74	$851.14
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $109.65 / $186.21	Professional	26	$79.43	$109.65	$186.21
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $371.54 / $691.83	Professional	TC	$208.93	$371.54	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $741.31 / $1,000.00	Professional		$489.78	$741.31	$1,000.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $131.83 / $177.83	Professional	26	$87.10	$131.83	$177.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $407.38 / $616.60 / $812.83	Professional	TC	$407.38	$616.60	$812.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $512.86 / $912.01	Professional		$269.15	$512.86	$912.01
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $107.15 / $177.83	Professional	26	$87.10	$107.15	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $407.38 / $724.44	Professional	TC	$177.83	$407.38	$724.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $537.03 / $562.34	Professional		$489.78	$537.03	$562.34
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $100.00 / $128.82	Professional	26	$93.33	$100.00	$128.82
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $512.86	Professional		$446.68	$446.68	$512.86
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $89.13 / $100.00	Professional	26	$89.13	$89.13	$100.00
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $87.10 / $120.23 / $177.83	Facility	26	$87.10	$120.23	$177.83
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $478.63 / $977.24	Professional		$380.19	$478.63	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $190.55	Professional	26	$79.43	$97.72	$190.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $295.12 / $380.19 / $794.33	Professional	TC	$295.12	$380.19	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $588.84 / $1,174.90	Professional		$281.84	$588.84	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $95.50 / $95.50	Facility	26	$83.18	$95.50	$95.50
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $346.74 / $416.87	Professional		$58.88	$346.74	$416.87
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $83.18 / $95.50	Professional	26	$81.28	$83.18	$95.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $323.59 / $363.08	Professional	TC	$245.47	$323.59	$363.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $436.52 / $776.25	Professional		$275.42	$436.52	$776.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $104.71 / $169.82	Professional	26	$72.44	$104.71	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $213.80 / $354.81 / $630.96	Professional	TC	$213.80	$354.81	$630.96

Pennsylvania rates for HCPCS 95813