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 $70.79 / $151.36 / $263.03	Facility		$70.79	$151.36	$263.03
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $89.13 / $89.13	Facility	26	$31.62	$89.13	$89.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $63.10 / $147.91	Professional		$44.67	$63.10	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $43.65 / $89.13	Professional	26	$16.98	$43.65	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $43.65 / $70.79	Professional	TC	$30.90	$43.65	$70.79
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $41.69	Professional	26	$40.74	$40.74	$41.69
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $69.18 / $83.18	Professional		$66.07	$69.18	$83.18
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.99 / $28.84	Professional	26	$22.91	$23.99	$28.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $74.13 / $112.20	Professional		$67.61	$74.13	$112.20
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $28.84 / $69.18	Professional	26	$21.88	$28.84	$69.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $47.86 / $75.86	Professional	TC	$26.30	$47.86	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $44.67 / $102.33	Professional		$31.62	$44.67	$102.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $17.38 / $38.02	Professional	26	$10.47	$17.38	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $28.84 / $64.57	Professional	TC	$19.50	$28.84	$64.57
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $107.15	Professional		$52.48	$70.79	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $20.89 / $31.62	Professional	26	$15.85	$20.89	$31.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $48.98 / $74.13	Professional	TC	$36.31	$48.98	$74.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $79.43 / $141.25	Professional		$52.48	$79.43	$141.25
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $31.62 / $51.29	Professional	26	$23.99	$31.62	$51.29
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $52.48 / $89.13	Professional	TC	$32.36	$52.48	$89.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $102.33 / $186.21	Facility		$100.00	$102.33	$186.21
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $23.44 / $31.62	Professional	26	$21.88	$23.44	$31.62
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $69.18 / $114.82	Professional		$67.61	$69.18	$114.82
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $23.99 / $28.84	Professional	26	$19.50	$23.99	$28.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $97.72	Facility		$95.50	$95.50	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $31.62 / $31.62 / $32.36	Facility	26	$31.62	$31.62	$32.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $74.13 / $147.91	Professional		$45.71	$74.13	$147.91
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $25.12 / $56.23	Professional	26	$15.85	$25.12	$56.23
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $47.86 / $97.72	Professional	TC	$30.90	$47.86	$97.72
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $131.83 / $316.23	Professional		$104.71	$131.83	$316.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $43.65 / $75.86	Professional		$5.50	$43.65	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $30.20	Professional	26	$21.38	$21.38	$30.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $41.69 / $45.71	Professional	TC	$23.99	$41.69	$45.71
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $114.82	Facility		$109.65	$109.65	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $60.26 / $104.71	Professional		$33.11	$60.26	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $22.91 / $41.69	Professional	26	$12.59	$22.91	$41.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $37.15 / $66.07	Professional	TC	$22.39	$37.15	$66.07

Pennsylvania rates for HCPCS 88108