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 $36.31 / $36.31 / $107.15	Facility	26	$36.31	$36.31	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $275.42	Professional		$66.07	$104.71	$275.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $165.96	Professional	26	$30.90	$36.31	$165.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $67.61 / $100.00	Professional	TC	$34.67	$67.61	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $34.67 / $70.79	Professional	26	$33.88	$34.67	$70.79
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $67.61 / $104.71	Professional	TC	$57.54	$67.61	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $95.50 / $194.98	Professional		$56.23	$95.50	$194.98
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $43.65 / $74.13	Professional	26	$31.62	$43.65	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $60.26 / $128.82	Professional	TC	$19.95	$60.26	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $165.96 / $218.78	Professional		$109.65	$165.96	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $51.29 / $69.18	Professional	26	$33.88	$51.29	$69.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $114.82 / $151.36	Professional	TC	$75.86	$114.82	$151.36
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $114.82 / $186.21	Professional		$52.48	$114.82	$186.21
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $40.74 / $69.18	Professional	26	$33.88	$40.74	$69.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $74.13 / $125.89	Professional	TC	$14.79	$74.13	$125.89
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $112.20 / $154.88	Professional		$58.88	$112.20	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $43.65 / $57.54	Professional	26	$37.15	$43.65	$57.54
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $107.15	Facility	26	$36.31	$36.31	$107.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $112.20 / $218.78	Professional		$70.79	$112.20	$218.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $37.15 / $75.86	Professional	26	$30.90	$37.15	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $74.13 / $141.25	Professional	TC	$34.67	$74.13	$141.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $107.15 / $204.17	Professional		$64.57	$107.15	$204.17
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $40.74	Facility	26	$33.11	$40.74	$40.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $79.43 / $109.65	Professional		$12.88	$79.43	$109.65
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $33.11 / $40.74	Professional	26	$32.36	$33.11	$40.74
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $67.61 / $74.13	Professional	TC	$13.49	$67.61	$74.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $97.72 / $181.97	Professional		$54.95	$97.72	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $40.74 / $67.61	Professional	26	$28.84	$40.74	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $61.66 / $114.82	Professional	TC	$24.55	$61.66	$114.82

Pennsylvania rates for HCPCS 95937