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 $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $436.52	Professional		$239.88	$281.84	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $102.33 / $141.25	Professional	26	$89.13	$102.33	$141.25
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $177.83 / $302.00	Professional	TC	$144.54	$177.83	$302.00
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $295.12 / $501.19	Professional		$281.84	$295.12	$501.19
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $102.33 / $208.93	Professional	26	$100.00	$102.33	$208.93
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $190.55 / $316.23	Professional	TC	$162.18	$190.55	$316.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $331.13 / $616.60	Professional		$204.17	$331.13	$616.60
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $128.82 / $218.78	Professional	26	$93.33	$128.82	$218.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $213.80 / $446.68	Professional	TC	$114.82	$213.80	$446.68
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $478.63 / $645.65	Professional		$316.23	$478.63	$645.65
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $151.36 / $204.17	Professional	26	$100.00	$151.36	$204.17
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $331.13 / $436.52	Professional	TC	$218.78	$331.13	$436.52
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $338.84 / $602.56	Professional		$204.17	$338.84	$602.56
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $123.03 / $204.17	Professional	26	$100.00	$123.03	$204.17
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $223.87 / $398.11	Professional	TC	$83.18	$223.87	$398.11
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $281.84	Professional		$263.03	$263.03	$281.84
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Facility	26	$107.15	$107.15	$107.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $446.68	Professional		$239.88	$281.84	$446.68
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $102.33 / $144.54	Professional	26	$91.20	$102.33	$144.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $181.97 / $302.00	Professional	TC	$144.54	$181.97	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $363.08 / $954.99	Professional		$218.78	$363.08	$954.99
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $97.72 / $97.72 / $107.15	Facility	26	$97.72	$97.72	$107.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $169.82 / $309.03	Professional		$66.07	$169.82	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $95.50 / $97.72 / $107.15	Professional	26	$95.50	$97.72	$107.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $165.96 / $181.97	Professional	TC	$61.66	$165.96	$181.97
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $302.00 / $524.81	Professional		$194.98	$302.00	$524.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $123.03 / $199.53	Professional	26	$85.11	$123.03	$199.53
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $186.21 / $331.13	Professional	TC	$123.03	$186.21	$331.13

Pennsylvania rates for HCPCS 95957