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 $147.91 / $181.97 / $489.78	Facility	26	$147.91	$181.97	$489.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $281.84 / $741.31	Professional		$234.42	$281.84	$741.31
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $181.97 / $416.87	Professional	26	$141.25	$181.97	$416.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $104.71 / $165.96	Professional	TC	$83.18	$104.71	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $245.47 / $467.74	Professional		$218.78	$245.47	$467.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $177.83 / $309.03	Professional	26	$154.88	$177.83	$309.03
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $194.98	Professional	26	$162.18	$162.18	$194.98
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $489.78	Professional		$239.88	$323.59	$489.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $199.53 / $302.00	Professional	26	$154.88	$199.53	$302.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $120.23 / $181.97	Professional	TC	$83.18	$120.23	$181.97
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $331.13 / $562.34	Professional		$229.09	$331.13	$562.34
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $147.91 / $204.17 / $338.84	Professional	26	$147.91	$204.17	$338.84
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $128.82 / $218.78	Professional	TC	$85.11	$128.82	$218.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $389.05 / $524.81	Professional		$257.04	$389.05	$524.81
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $158.49 / $239.88 / $323.59	Professional	26	$158.49	$239.88	$323.59
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $151.36 / $199.53	Professional	TC	$100.00	$151.36	$199.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $288.40 / $512.86	Professional		$239.88	$288.40	$512.86
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $177.83 / $309.03	Professional	26	$154.88	$177.83	$309.03
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $194.98	Professional	TC	$91.20	$109.65	$194.98
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $281.84 / $363.08	Professional		$251.19	$281.84	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $186.21 / $263.03	Professional	26	$169.82	$186.21	$263.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $302.00	Professional		$269.15	$269.15	$302.00
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $162.18 / $181.97	Professional	26	$162.18	$162.18	$181.97
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $147.91 / $181.97 / $229.09	Facility	26	$147.91	$181.97	$229.09
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $295.12 / $562.34	Professional		$234.42	$295.12	$562.34
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $144.54 / $181.97 / $338.84	Professional	26	$144.54	$181.97	$338.84
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $114.82 / $218.78	Professional	TC	$87.10	$114.82	$218.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $380.19 / $588.84	Professional		$295.12	$380.19	$588.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $141.25 / $151.36 / $151.36	Facility	26	$141.25	$151.36	$151.36
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $234.42 / $380.19	Professional		$45.71	$234.42	$380.19
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $141.25 / $151.36 / $158.49	Professional	26	$141.25	$151.36	$158.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $87.10 / $97.72	Professional	TC	$85.11	$87.10	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $309.03 / $489.78	Professional		$213.80	$309.03	$489.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $134.90 / $190.55 / $309.03	Professional	26	$134.90	$190.55	$309.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $117.49 / $194.98	Professional	TC	$87.10	$117.49	$194.98

Pennsylvania rates for HCPCS 95912