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 $123.03 / $151.36 / $208.93	Facility	26	$123.03	$151.36	$208.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $275.42 / $630.96	Professional		$204.17	$275.42	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $144.54 / $346.74	Professional	26	$117.49	$144.54	$346.74
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $93.33 / $154.88	Professional	TC	$77.62	$93.33	$154.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $251.19 / $407.38	Professional		$190.55	$251.19	$407.38
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $165.96 / $257.04	Professional	26	$128.82	$165.96	$257.04
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Professional	TC	$128.82	$128.82	$128.82
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $269.15	Professional		$234.42	$234.42	$269.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $162.18	Professional	26	$134.90	$134.90	$162.18
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $288.40 / $426.58	Professional		$204.17	$288.40	$426.58
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $169.82 / $251.19	Professional	26	$128.82	$169.82	$251.19
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $109.65 / $177.83	Professional	TC	$75.86	$109.65	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $288.40 / $478.63	Professional		$194.98	$288.40	$478.63
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $169.82 / $288.40	Professional	26	$123.03	$169.82	$288.40
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $117.49 / $194.98	Professional	TC	$75.86	$117.49	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $338.84 / $446.68	Professional		$223.87	$338.84	$446.68
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $199.53 / $269.15	Professional	26	$131.83	$199.53	$269.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $138.04 / $181.97	Professional	TC	$91.20	$138.04	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $245.47 / $436.52	Professional		$208.93	$245.47	$436.52
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $147.91 / $257.04	Professional	26	$128.82	$147.91	$257.04
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $97.72 / $177.83	Professional	TC	$81.28	$97.72	$177.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $245.47 / $346.74	Professional		$218.78	$245.47	$346.74
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $154.88 / $218.78	Professional	26	$141.25	$154.88	$218.78
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Professional	50	$257.04	$257.04	$257.04
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $281.84	Professional		$234.42	$234.42	$281.84
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $134.90 / $162.18	Professional	26	$134.90	$134.90	$162.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $151.36 / $194.98	Facility	26	$123.03	$151.36	$194.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $251.19 / $501.19	Professional		$204.17	$251.19	$501.19
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $123.03 / $151.36 / $288.40	Professional	26	$123.03	$151.36	$288.40
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $102.33 / $204.17	Professional	TC	$79.43	$102.33	$204.17
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $331.13 / $512.86	Professional		$251.19	$331.13	$512.86
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $117.49 / $117.49 / $125.89	Facility	26	$117.49	$117.49	$125.89
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $169.82 / $338.84	Professional		$58.88	$169.82	$338.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $117.49 / $125.89 / $131.83	Professional	26	$117.49	$125.89	$131.83
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $79.43 / $85.11	Professional	TC	$75.86	$79.43	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $269.15 / $426.58	Professional		$190.55	$269.15	$426.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $162.18 / $257.04	Professional	26	$112.20	$162.18	$257.04
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $107.15 / $177.83	Professional	TC	$79.43	$107.15	$177.83

Pennsylvania rates for HCPCS 95911