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 $19.50 / $19.95 / $37.15	Facility	26	$19.50	$19.95	$37.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $87.10 / $234.42	Professional		$58.88	$87.10	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.91 / $77.62	Professional	26	$18.20	$22.91	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $70.79 / $144.54	Professional		$67.61	$70.79	$144.54
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $95.50	Professional		$87.10	$87.10	$95.50
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $131.83	Professional		$112.20	$131.83	$131.83
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 / $144.54	Professional		$38.90	$75.86	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.44 / $38.02	Professional	26	$16.98	$23.44	$38.02
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $165.96	Professional		$95.50	$125.89	$165.96
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $29.51 / $39.81	Professional	26	$22.91	$29.51	$39.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $93.33 / $131.83	Professional		$33.11	$93.33	$131.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.70 / $33.88	Professional	26	$19.95	$25.70	$33.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $89.13 / $128.82	Professional		$30.20	$89.13	$128.82
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $36.31	Professional	26	$22.91	$22.91	$36.31
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $95.50	Professional		$87.10	$87.10	$95.50
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $19.50 / $37.15	Facility	26	$19.50	$19.50	$37.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $186.21	Professional		$61.66	$87.10	$186.21
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $22.39 / $43.65	Professional	26	$18.20	$22.39	$43.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $52.48 / $173.78	Professional		$37.15	$52.48	$173.78
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $20.89	Facility	26	$19.05	$19.05	$20.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $19.95 / $75.86	Professional		$5.75	$19.95	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $19.05 / $20.89	Professional	26	$18.62	$19.05	$20.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $75.86 / $138.04	Professional		$38.90	$75.86	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $21.38 / $37.15	Professional	26	$14.79	$21.38	$37.15

Pennsylvania rates for HCPCS 95874