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 $85.11 / $85.11 / $158.49	Facility	26	$85.11	$85.11	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $354.81	Professional		$131.83	$162.18	$354.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $186.21	Professional	26	$72.44	$85.11	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $79.43 / $128.82	Professional	TC	$57.54	$79.43	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $100.00	Professional	26	$83.18	$83.18	$100.00
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $812.83	Professional		$204.17	$204.17	$812.83
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $102.33 / $173.78	Professional	26	$79.43	$102.33	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $74.13 / $158.49	Professional	TC	$63.10	$74.13	$158.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $331.13	Professional		$117.49	$177.83	$331.13
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $100.00 / $177.83	Professional	26	$74.13	$100.00	$177.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $85.11 / $173.78	Professional	TC	$38.02	$85.11	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $251.19 / $331.13	Professional		$165.96	$251.19	$331.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $123.03 / $165.96	Professional	26	$81.28	$123.03	$165.96
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $125.89 / $169.82	Professional	TC	$83.18	$125.89	$169.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $177.83 / $309.03	Professional		$114.82	$177.83	$309.03
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $162.18	Professional	26	$79.43	$97.72	$162.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $83.18 / $147.91	Professional	TC	$33.11	$83.18	$147.91
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $87.10 / $109.65	Professional	26	$87.10	$87.10	$109.65
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $100.00	Professional	26	$83.18	$83.18	$100.00
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $144.54 / $158.49	Facility	26	$85.11	$144.54	$158.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $173.78 / $363.08	Professional		$134.90	$173.78	$363.08
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $173.78	Professional	26	$72.44	$85.11	$173.78
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $87.10 / $181.97	Professional	TC	$57.54	$87.10	$181.97
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $218.78 / $398.11	Professional		$154.88	$218.78	$398.11
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $100.00	Facility	26	$77.62	$77.62	$100.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $87.10 / $309.03	Professional		$22.91	$87.10	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $77.62 / $100.00	Professional	26	$75.86	$77.62	$100.00
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $75.86 / $85.11	Professional	TC	$26.92	$75.86	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $316.23	Professional		$112.20	$173.78	$316.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $97.72 / $158.49	Professional	26	$69.18	$97.72	$158.49
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $91.20 / $165.96	Professional	TC	$43.65	$91.20	$165.96

Pennsylvania rates for HCPCS 95861