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 Typical Low / Median / Typical High $89.13 / $363.08 / $1,513.56	Facility		$89.13	$363.08	$1,513.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $25.70 / $57.54	Facility	26	$19.05	$25.70	$57.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $234.42	Professional		$61.66	$87.10	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $18.20 / $37.15	Professional	26	$15.85	$18.20	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $52.48 / $134.90	Professional	TC	$42.66	$52.48	$134.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility		$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $66.07 / $208.93	Professional		$63.10	$66.07	$208.93
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $37.15	Professional	26	$18.20	$18.62	$37.15
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $47.86 / $177.83	Professional	TC	$45.71	$47.86	$177.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $117.49 / $165.96	Facility		$56.23	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $112.20 / $199.53	Professional		$60.26	$112.20	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $22.91 / $39.81	Professional	26	$16.98	$22.91	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $91.20 / $162.18	Professional	TC	$45.71	$91.20	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $104.71 / $141.25	Professional		$69.18	$104.71	$141.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $26.92 / $36.31	Professional	26	$17.78	$26.92	$36.31
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $77.62 / $104.71	Professional	TC	$51.29	$77.62	$104.71
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $91.20 / $144.54	Professional		$63.10	$91.20	$144.54
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $21.88 / $36.31	Professional	26	$17.78	$21.88	$36.31
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $67.61 / $112.20	Professional	TC	$46.77	$67.61	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $724.44 / $851.14	Facility		$630.96	$724.44	$851.14
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $31.62	Professional	26	$31.62	$31.62	$31.62
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $89.13 / $1,819.70	Facility		$70.79	$89.13	$1,819.70
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.05 / $25.70 / $57.54	Facility	26	$19.05	$25.70	$57.54
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $173.78	Professional		$61.66	$77.62	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $19.05 / $38.90	Professional	26	$15.85	$19.05	$38.90
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $57.54 / $144.54	Professional	TC	$42.66	$57.54	$144.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $102.33 / $338.84	Professional		$53.70	$102.33	$338.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $63.10 / $107.15	Facility		$40.74	$63.10	$107.15
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.78 / $39.81 / $39.81	Facility	26	$17.78	$39.81	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $61.66 / $100.00	Professional		$25.70	$61.66	$100.00
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $17.78 / $39.81	Professional	26	$17.38	$17.78	$39.81
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $45.71 / $60.26	Professional	TC	$44.67	$45.71	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $630.96 / $724.44	Facility		$436.52	$630.96	$724.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $83.18 / $147.91	Professional		$54.95	$83.18	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $21.88 / $36.31	Professional	26	$15.49	$21.88	$36.31
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $61.66 / $117.49	Professional	TC	$39.81	$61.66	$117.49

Pennsylvania rates for HCPCS 95930