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 $100.00 / $123.03 / $331.13	Facility	26	$100.00	$123.03	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $524.81	Professional		$165.96	$213.80	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $120.23 / $281.84	Professional	26	$95.50	$120.23	$281.84
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $81.28 / $134.90	Professional	TC	$67.61	$81.28	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $190.55 / $263.03	Professional		$154.88	$190.55	$263.03
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $141.25 / $204.17	Professional	26	$97.72	$141.25	$204.17
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $223.87	Professional		$194.98	$194.98	$223.87
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $131.83	Professional	26	$109.65	$109.65	$131.83
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $239.88 / $354.81	Professional		$169.82	$239.88	$354.81
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $141.25 / $199.53	Professional	26	$102.33	$141.25	$199.53
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $102.33 / $151.36	Professional	TC	$66.07	$102.33	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $234.42 / $398.11	Professional		$162.18	$234.42	$398.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $134.90 / $229.09	Professional	26	$100.00	$134.90	$229.09
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $102.33 / $169.82	Professional	TC	$66.07	$102.33	$169.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $281.84 / $380.19	Professional		$186.21	$281.84	$380.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $158.49 / $213.80	Professional	26	$104.71	$158.49	$213.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $123.03 / $162.18	Professional	TC	$81.28	$123.03	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $208.93 / $363.08	Professional		$173.78	$208.93	$363.08
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $102.33 / $120.23 / $204.17	Professional	26	$102.33	$120.23	$204.17
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $85.11 / $158.49	Professional	TC	$72.44	$85.11	$158.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $199.53 / $263.03	Professional		$177.83	$199.53	$263.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $114.82 / $123.03 / $173.78	Professional	26	$114.82	$123.03	$173.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $234.42	Professional		$194.98	$194.98	$234.42
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $109.65 / $109.65 / $181.97	Professional	26	$109.65	$109.65	$181.97
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $100.00 / $123.03 / $154.88	Facility	26	$100.00	$123.03	$154.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $213.80 / $407.38	Professional		$169.82	$213.80	$407.38
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $97.72 / $123.03 / $223.87	Professional	26	$97.72	$123.03	$223.87
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $91.20 / $173.78	Professional	TC	$69.18	$91.20	$173.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $275.42 / $416.87	Professional		$208.93	$275.42	$416.87
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $93.33 / $102.33 / $102.33	Facility	26	$93.33	$102.33	$102.33
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $85.11 / $218.78	Professional		$47.86	$85.11	$218.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $102.33 / $104.71	Professional	26	$100.00	$102.33	$104.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $67.61 / $74.13	Professional	TC	$66.07	$67.61	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $218.78 / $354.81	Professional		$158.49	$218.78	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $128.82 / $208.93	Professional	26	$91.20	$128.82	$208.93
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $95.50 / $154.88	Professional	TC	$69.18	$95.50	$154.88

Pennsylvania rates for HCPCS 95910