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 $22.91 / $91.20 / $107.15	Facility	26	$22.91	$91.20	$107.15
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $154.88	Professional		$45.71	$57.54	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $42.66 / $100.00	Professional	26	$19.95	$42.66	$100.00
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $34.67 / $95.50	Professional	TC	$26.92	$34.67	$95.50
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $83.18 / $128.82	Professional		$77.62	$83.18	$128.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $36.31 / $69.18	Professional	26	$26.92	$36.31	$69.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $52.48 / $75.86	Professional	TC	$30.20	$52.48	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $42.66 / $100.00	Professional		$27.54	$42.66	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $19.05 / $42.66	Professional	26	$12.88	$19.05	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $24.55 / $60.26	Professional	TC	$14.79	$24.55	$60.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $128.82	Professional		$64.57	$85.11	$128.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.30 / $39.81	Professional	26	$19.95	$26.30	$39.81
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $60.26 / $91.20	Professional	TC	$43.65	$60.26	$91.20
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $91.20 / $138.04	Professional		$51.29	$91.20	$138.04
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $33.88 / $61.66	Professional	26	$28.18	$33.88	$61.66
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $57.54 / $93.33	Professional	TC	$20.89	$57.54	$93.33
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $30.20 / $45.71	Professional	26	$28.18	$30.20	$45.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $38.90 / $39.81	Facility	26	$22.91	$38.90	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $61.66 / $147.91	Professional		$46.77	$61.66	$147.91
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.12 / $66.07	Professional	26	$17.78	$25.12	$66.07
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $97.72	Professional	TC	$28.84	$38.90	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $144.54 / $281.84	Professional		$114.82	$144.54	$281.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.37 / $60.26 / $147.91	Professional		$4.37	$60.26	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.92 / $33.11	Professional	26	$26.30	$26.92	$33.11
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $39.81 / $44.67	Professional	TC	$27.54	$39.81	$44.67
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $66.07 / $109.65	Professional		$34.67	$66.07	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $28.84 / $51.29	Professional	26	$15.85	$28.84	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $38.02 / $64.57	Professional	TC	$20.89	$38.02	$64.57

Pennsylvania rates for HCPCS 88104