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 $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $85.11 / $120.23	Professional		$72.44	$85.11	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $44.67 / $87.10	Professional	26	$38.90	$44.67	$87.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $41.69 / $57.54	Professional	TC	$35.48	$41.69	$57.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $81.28 / $102.33	Professional		$74.13	$81.28	$102.33
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $87.10 / $147.91	Professional		$85.11	$87.10	$147.91
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $45.71 / $83.18	Professional	26	$43.65	$45.71	$83.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $42.66 / $72.44	Professional	TC	$40.74	$42.66	$72.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $100.00 / $177.83	Professional		$69.18	$100.00	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $56.23 / $97.72	Professional	26	$40.74	$56.23	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $45.71 / $81.28	Professional	TC	$23.44	$45.71	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $138.04 / $186.21	Professional		$91.20	$138.04	$186.21
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $66.07 / $89.13	Professional	26	$43.65	$66.07	$89.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $72.44 / $95.50	Professional	TC	$47.86	$72.44	$95.50
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $97.72 / $169.82	Professional		$66.07	$97.72	$169.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $53.70 / $89.13	Professional	26	$43.65	$53.70	$89.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $47.86 / $85.11	Professional	TC	$18.62	$47.86	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $66.07 / $83.18	Professional	26	$66.07	$66.07	$83.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $97.72	Professional		$93.33	$93.33	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $45.71	Facility	26	$45.71	$45.71	$45.71
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $89.13 / $162.18	Professional		$77.62	$89.13	$162.18
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $81.28	Professional	26	$39.81	$45.71	$81.28
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $42.66 / $81.28	Professional	TC	$36.31	$42.66	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $107.15 / $204.17	Professional		$77.62	$107.15	$204.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $47.86	Facility	26	$43.65	$43.65	$47.86
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $43.65 / $257.04	Professional		$13.80	$43.65	$257.04
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $47.86	Professional	26	$42.66	$43.65	$47.86
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $45.71	Professional	TC	$30.20	$40.74	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $93.33 / $158.49	Professional		$63.10	$93.33	$158.49
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $53.70 / $87.10	Professional	26	$38.02	$53.70	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $44.67 / $75.86	Professional	TC	$26.92	$44.67	$75.86

Pennsylvania rates for HCPCS 95921