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 $54.95 / $79.43 / $123.03	Facility	26	$54.95	$79.43	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $407.38 / $851.14	Professional		$302.00	$407.38	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $74.13 / $158.49	Professional	26	$51.29	$74.13	$158.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $323.59 / $537.03	Professional	TC	$251.19	$323.59	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $398.11 / $436.52	Professional		$371.54	$398.11	$436.52
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $74.13 / $107.15	Professional	26	$54.95	$74.13	$107.15
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $66.07	Professional	26	$57.54	$57.54	$66.07
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $389.05 / $645.65	Professional		$371.54	$389.05	$645.65
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $57.54 / $114.82	Professional	26	$54.95	$57.54	$114.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $281.84 / $331.13 / $537.03	Professional	TC	$281.84	$331.13	$537.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $389.05 / $741.31	Professional		$218.78	$389.05	$741.31
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $70.79 / $123.03	Professional	26	$52.48	$70.79	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $331.13 / $645.65	Professional	TC	$162.18	$331.13	$645.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $645.65 / $851.14	Professional		$426.58	$645.65	$851.14
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $85.11 / $114.82	Professional	26	$56.23	$85.11	$114.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $562.34 / $741.31	Professional	TC	$371.54	$562.34	$741.31
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $436.52 / $724.44	Professional		$194.98	$436.52	$724.44
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $67.61 / $114.82	Professional	26	$56.23	$67.61	$114.82
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $363.08 / $630.96	Professional	TC	$138.04	$363.08	$630.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $457.09 / $501.19	Professional		$302.00	$457.09	$501.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $67.61 / $95.50	Professional	26	$61.66	$67.61	$95.50
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $446.68	Professional		$398.11	$398.11	$446.68
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $57.54 / $66.07	Professional	26	$57.54	$57.54	$66.07
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $79.43 / $123.03	Facility	26	$54.95	$79.43	$123.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $426.58 / $831.76	Professional		$316.23	$426.58	$831.76
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $66.07 / $120.23	Professional	26	$51.29	$66.07	$120.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $263.03 / $363.08 / $707.95	Professional	TC	$263.03	$363.08	$707.95
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $416.87 / $954.99	Professional		$190.55	$416.87	$954.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $54.95 / $54.95 / $63.10	Facility	26	$54.95	$54.95	$63.10
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $50.12 / $363.08	Professional		$46.77	$50.12	$363.08
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $54.95 / $63.10	Professional	26	$53.70	$54.95	$63.10
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $309.03 / $338.84	Professional	TC	$218.78	$309.03	$338.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $380.19 / $691.83	Professional		$190.55	$380.19	$691.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $69.18 / $109.65	Professional	26	$47.86	$69.18	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $331.13 / $575.44	Professional	TC	$181.97	$331.13	$575.44

Pennsylvania rates for HCPCS 95816