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 $19.95 / $19.95 / $29.51	Facility	26	$19.95	$19.95	$29.51
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $75.86 / $177.83	Professional		$61.66	$75.86	$177.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $56.23	Professional	26	$16.98	$20.89	$56.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.95 / $36.31	Professional	26	$19.05	$19.95	$36.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $75.86 / $141.25	Professional		$38.90	$75.86	$141.25
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $38.02	Professional	26	$16.98	$23.99	$38.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $158.49	Professional		$91.20	$120.23	$158.49
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $30.20 / $40.74	Professional	26	$23.44	$30.20	$40.74
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $89.13 / $125.89	Professional		$33.11	$89.13	$125.89
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.70 / $34.67	Professional	26	$19.50	$25.70	$34.67
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	26	$36.31	$36.31	$36.31
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility	26	$19.95	$19.95	$19.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $77.62 / $186.21	Professional		$63.10	$77.62	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $43.65	Professional	26	$16.98	$20.89	$43.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $114.82 / $181.97	Professional		$36.31	$114.82	$181.97
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $20.42 / $20.42	Facility	26	$19.05	$20.42	$20.42
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $27.54 / $69.18	Professional		$5.75	$27.54	$69.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $19.05 / $20.42	Professional	26	$18.62	$19.05	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $74.13 / $134.90	Professional		$40.74	$74.13	$134.90
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $37.15	Professional	26	$15.14	$21.38	$37.15

Pennsylvania rates for HCPCS 95873