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 $19.05 / $21.88 / $338.84	Facility	26	$19.05	$21.88	$338.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $295.12	Professional		$53.70	$81.28	$295.12
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $26.30 / $93.33	Professional	26	$16.60	$26.30	$93.33
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $28.84 / $48.98 / $199.53	Professional	50	$28.84	$48.98	$199.53
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $43.65 / $72.44	Professional	TC	$38.02	$43.65	$72.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $109.65	Professional		$54.95	$64.57	$109.65
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $24.55 / $35.48	Professional	26	$21.88	$24.55	$35.48
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $79.43	Professional		$70.79	$70.79	$79.43
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $23.99	Professional	26	$19.05	$19.05	$23.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $74.13 / $104.71	Professional		$57.54	$74.13	$104.71
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $23.99 / $34.67	Professional	26	$18.20	$23.99	$34.67
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $114.82 / $147.91 / $213.80	Professional	50	$114.82	$147.91	$213.80
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $50.12 / $70.79	Professional	TC	$39.81	$50.12	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $131.83	Professional		$56.23	$75.86	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $23.44 / $39.81	Professional	26	$17.38	$23.44	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $51.29 / $89.13	Professional	TC	$38.02	$51.29	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $100.00 / $131.83	Professional		$66.07	$100.00	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $27.54 / $37.15	Professional	26	$18.20	$27.54	$37.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $72.44 / $95.50	Professional	TC	$47.86	$72.44	$95.50
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $120.23	Professional		$52.48	$69.18	$120.23
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $20.42 / $35.48	Professional	26	$17.38	$20.42	$35.48
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $50.12 / $85.11	Professional	TC	$36.31	$50.12	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $67.61 / $102.33	Professional		$61.66	$67.61	$102.33
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.92 / $70.79	Professional	26	$19.95	$26.92	$70.79
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $123.03 / $177.83 / $181.97	Professional	50	$123.03	$177.83	$181.97
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $77.62	Professional		$70.79	$70.79	$77.62
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $23.99	Professional	26	$19.05	$19.05	$23.99
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $21.88 / $35.48	Facility	26	$19.05	$21.88	$35.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $70.79 / $141.25	Professional		$54.95	$70.79	$141.25
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $20.89 / $40.74	Professional	26	$16.22	$20.89	$40.74
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $51.29 / $102.33	Professional	TC	$38.02	$51.29	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $141.25	Professional		$64.57	$91.20	$141.25
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.22 / $17.38 / $17.38	Facility	26	$16.22	$17.38	$17.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $27.54 / $64.57	Professional		$10.00	$27.54	$64.57
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $17.38 / $18.20	Professional	26	$16.98	$17.38	$18.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $41.69 / $45.71	Professional	TC	$40.74	$41.69	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $72.44 / $117.49	Professional		$52.48	$72.44	$117.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $22.39 / $36.31	Professional	26	$15.85	$22.39	$36.31
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $50.12 / $83.18	Professional	TC	$35.48	$50.12	$83.18

Pennsylvania rates for HCPCS 95885