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 $173.78 / $213.80 / $575.44	Facility	26	$173.78	$213.80	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $331.13 / $851.14	Professional		$269.15	$331.13	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $169.82 / $204.17 / $512.86	Professional	26	$169.82	$204.17	$512.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $114.82 / $186.21	Professional	TC	$93.33	$114.82	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $295.12 / $467.74	Professional		$257.04	$295.12	$467.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	26	$239.88	$239.88	$239.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $331.13	Professional		$316.23	$316.23	$331.13
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $229.09	Professional	26	$190.55	$190.55	$229.09
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $371.54 / $549.54	Professional		$281.84	$371.54	$549.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $239.88 / $354.81	Professional	26	$181.97	$239.88	$354.81
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $134.90 / $199.53	Professional	TC	$95.50	$134.90	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $389.05 / $645.65	Professional		$263.03	$389.05	$645.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $239.88 / $407.38	Professional	26	$173.78	$239.88	$407.38
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $144.54 / $239.88	Professional	TC	$95.50	$144.54	$239.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $457.09 / $616.60	Professional		$302.00	$457.09	$616.60
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $186.21 / $281.84 / $380.19	Professional	26	$186.21	$281.84	$380.19
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $177.83 / $234.42	Professional	TC	$117.49	$177.83	$234.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $338.84 / $588.84	Professional		$281.84	$338.84	$588.84
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $181.97 / $208.93 / $363.08	Professional	26	$181.97	$208.93	$363.08
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $123.03 / $223.87	Professional	TC	$102.33	$123.03	$223.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $323.59 / $426.58	Professional		$316.23	$323.59	$426.58
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $194.98 / $218.78 / $316.23	Professional	26	$194.98	$218.78	$316.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $338.84	Professional		$316.23	$316.23	$338.84
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $190.55 / $190.55 / $229.09	Professional	26	$190.55	$190.55	$229.09
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $173.78 / $213.80 / $275.42	Facility	26	$173.78	$213.80	$275.42
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $338.84 / $660.69	Professional		$269.15	$338.84	$660.69
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $173.78 / $213.80 / $398.11	Professional	26	$173.78	$213.80	$398.11
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $125.89 / $251.19	Professional	TC	$97.72	$125.89	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $446.68 / $691.83	Professional		$338.84	$446.68	$691.83
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $165.96 / $165.96 / $181.97	Facility	26	$165.96	$165.96	$181.97
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $199.53 / $295.12	Professional		$43.65	$199.53	$295.12
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $165.96 / $177.83 / $186.21	Professional	26	$165.96	$177.83	$186.21
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $97.72 / $107.15	Professional	TC	$95.50	$97.72	$107.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $354.81 / $575.44	Professional		$251.19	$354.81	$575.44
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $162.18 / $229.09 / $363.08	Professional	26	$162.18	$229.09	$363.08
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $134.90 / $213.80	Professional	TC	$97.72	$134.90	$213.80

Pennsylvania rates for HCPCS 95913