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 $42.66 / $53.70 / $141.25	Facility	26	$42.66	$53.70	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $173.78 / $467.74	Professional		$85.11	$173.78	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $64.57 / $194.98	Professional	26	$41.69	$64.57	$194.98
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $181.97 / $309.03 / $575.44	Professional	50	$181.97	$309.03	$575.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $52.48 / $85.11	Professional	TC	$41.69	$52.48	$85.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $112.20 / $173.78	Professional		$91.20	$112.20	$173.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $57.54 / $72.44	Professional	26	$43.65	$57.54	$72.44
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	50	$208.93	$208.93	$208.93
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	TC	$67.61	$67.61	$67.61
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $109.65	Professional		$107.15	$107.15	$109.65
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $60.26	Professional	26	$46.77	$46.77	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $169.82	Professional		$91.20	$123.03	$169.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $61.66 / $89.13	Professional	26	$44.67	$61.66	$89.13
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $181.97 / $245.47 / $338.84	Professional	50	$181.97	$245.47	$338.84
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $58.88 / $85.11	Professional	TC	$46.77	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $204.17	Professional		$87.10	$117.49	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $97.72	Professional	26	$41.69	$58.88	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $57.54 / $104.71	Professional	TC	$44.67	$57.54	$104.71
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $204.17	Professional		$102.33	$154.88	$204.17
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $67.61 / $91.20	Professional	26	$44.67	$67.61	$91.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $85.11 / $112.20	Professional	TC	$56.23	$85.11	$112.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $109.65 / $177.83	Professional		$83.18	$109.65	$177.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $52.48 / $87.10	Professional	26	$43.65	$52.48	$87.10
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $95.50	Professional	TC	$38.02	$57.54	$95.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $114.82 / $154.88	Professional		$100.00	$114.82	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $114.82	Professional	26	$48.98	$64.57	$114.82
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $190.55 / $223.87 / $281.84	Professional	50	$190.55	$223.87	$281.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $112.20	Professional		$107.15	$107.15	$112.20
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $46.77 / $61.66	Professional	26	$46.77	$46.77	$61.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $53.70 / $72.44	Facility	26	$42.66	$53.70	$72.44
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $218.78	Professional		$89.13	$112.20	$218.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $52.48 / $97.72	Professional	26	$41.69	$52.48	$97.72
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $60.26 / $114.82	Professional	TC	$43.65	$60.26	$114.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $194.98	Professional		$100.00	$125.89	$194.98
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $43.65	Facility	26	$42.66	$42.66	$43.65
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $72.44 / $169.82	Professional		$5.75	$72.44	$169.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $45.71	Professional	26	$42.66	$43.65	$45.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $50.12 / $54.95	Professional	TC	$33.88	$50.12	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $181.97	Professional		$79.43	$109.65	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $56.23 / $89.13	Professional	26	$39.81	$56.23	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $57.54 / $95.50	Professional	TC	$39.81	$57.54	$95.50

Pennsylvania rates for HCPCS 95886