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 / $138.04 / $138.04	Facility	26	$45.71	$138.04	$138.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $138.04 / $281.84	Professional		$112.20	$138.04	$281.84
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $45.71 / $95.50	Professional	26	$39.81	$45.71	$95.50
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $85.11 / $151.36	Professional	TC	$72.44	$85.11	$151.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $112.20 / $138.04	Professional		$89.13	$112.20	$138.04
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $117.49 / $229.09	Professional		$114.82	$117.49	$229.09
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 $70.79 / $72.44 / $151.36	Professional	TC	$70.79	$72.44	$151.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $158.49 / $288.40	Professional		$109.65	$158.49	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $57.54 / $97.72	Professional	26	$41.69	$57.54	$97.72
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $100.00 / $208.93	Professional	TC	$66.07	$100.00	$208.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $190.55 / $251.19	Professional		$125.89	$190.55	$251.19
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 $81.28 / $123.03 / $165.96	Professional	TC	$81.28	$123.03	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $245.47	Professional		$109.65	$144.54	$245.47
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $53.70 / $91.20	Professional	26	$43.65	$53.70	$91.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $91.20 / $154.88	Professional	TC	$61.66	$91.20	$154.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $147.91 / $151.36	Professional		$141.25	$147.91	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $66.07 / $83.18	Professional	26	$52.48	$66.07	$83.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $147.91	Professional		$138.04	$138.04	$147.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $45.71 / $138.04	Facility	26	$45.71	$45.71	$138.04
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $141.25 / $275.42	Professional		$114.82	$141.25	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $46.77 / $95.50	Professional	26	$39.81	$46.77	$95.50
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $93.33 / $177.83	Professional	TC	$74.13	$93.33	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $537.03	Professional		$147.91	$186.21	$537.03
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $43.65 / $43.65 / $48.98	Facility	26	$43.65	$43.65	$48.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $74.13 / $147.91	Professional		$13.80	$74.13	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $48.98	Professional	26	$42.66	$43.65	$48.98
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $74.13 / $83.18	Professional	TC	$74.13	$74.13	$83.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $147.91 / $245.47	Professional		$100.00	$147.91	$245.47
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $89.13	Professional	26	$38.90	$54.95	$89.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $91.20 / $158.49	Professional	TC	$64.57	$91.20	$158.49

Pennsylvania rates for HCPCS 95923