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 $74.13 / $91.20 / $245.47	Facility	26	$74.13	$91.20	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $177.83 / $398.11	Professional		$128.82	$177.83	$398.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $85.11 / $208.93	Professional	26	$72.44	$85.11	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $63.10 / $104.71	Professional	TC	$52.48	$63.10	$104.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $169.82 / $218.78	Professional		$128.82	$169.82	$218.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $97.72 / $154.88	Professional	26	$81.28	$97.72	$154.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $162.18	Professional		$147.91	$147.91	$162.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $97.72	Professional	26	$81.28	$81.28	$97.72
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $269.15	Professional		$128.82	$181.97	$269.15
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $102.33 / $147.91	Professional	26	$77.62	$102.33	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $74.13 / $114.82	Professional	TC	$52.48	$74.13	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $181.97 / $309.03	Professional		$123.03	$181.97	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $102.33 / $173.78	Professional	26	$74.13	$102.33	$173.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $79.43 / $134.90	Professional	TC	$52.48	$79.43	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $218.78 / $288.40	Professional		$144.54	$218.78	$288.40
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $120.23 / $162.18	Professional	26	$79.43	$120.23	$162.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $128.82	Professional	TC	$64.57	$97.72	$128.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $158.49 / $275.42	Professional		$134.90	$158.49	$275.42
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $89.13 / $154.88	Professional	26	$77.62	$89.13	$154.88
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $67.61 / $123.03	Professional	TC	$56.23	$67.61	$123.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $147.91 / $199.53	Professional		$138.04	$147.91	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $89.13 / $131.83	Professional	26	$85.11	$89.13	$131.83
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $169.82	Professional		$147.91	$147.91	$169.82
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $81.28 / $81.28 / $93.33	Professional	26	$81.28	$81.28	$93.33
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $74.13 / $91.20 / $117.49	Facility	26	$74.13	$91.20	$117.49
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $162.18 / $309.03	Professional		$128.82	$162.18	$309.03
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $91.20 / $169.82	Professional	26	$72.44	$91.20	$169.82
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $70.79 / $134.90	Professional	TC	$53.70	$70.79	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $213.80 / $316.23	Professional		$158.49	$213.80	$316.23
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $70.79 / $70.79 / $75.86	Facility	26	$70.79	$70.79	$75.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $63.10 / $128.82	Professional		$47.86	$63.10	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $75.86 / $79.43	Professional	26	$70.79	$75.86	$79.43
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $53.70 / $58.88	Professional	TC	$52.48	$53.70	$58.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $275.42	Professional		$120.23	$165.96	$275.42
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $97.72 / $154.88	Professional	26	$69.18	$97.72	$154.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $74.13 / $120.23	Professional	TC	$53.70	$74.13	$120.23

Pennsylvania rates for HCPCS 95909