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 $67.61 / $158.49 / $263.03	Facility		$67.61	$158.49	$263.03
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $93.33 / $109.65	Facility	26	$22.91	$93.33	$109.65
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $56.23 / $154.88 / $426.58	Facility	TC	$56.23	$154.88	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $75.86 / $204.17	Professional		$44.67	$75.86	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $51.29 / $218.78	Professional	26	$20.89	$51.29	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $125.89	Professional	TC	$26.92	$38.02	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $25.12	Professional	26	$13.18	$13.18	$25.12
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $37.15	Professional	TC	$37.15	$37.15	$37.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $35.48	Professional	26	$28.18	$29.51	$35.48
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $144.54 / $263.03 / $281.84	Facility	TC	$144.54	$263.03	$281.84
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $69.18 / $120.23	Professional		$66.07	$69.18	$120.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $27.54 / $52.48	Professional	26	$26.92	$27.54	$52.48
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $40.74 / $67.61	Professional	TC	$38.90	$40.74	$67.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $60.26 / $134.90	Professional		$32.36	$60.26	$134.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $28.18 / $67.61	Professional	26	$12.88	$28.18	$67.61
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $29.51 / $63.10	Professional	TC	$18.62	$29.51	$63.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $66.07 / $100.00	Professional		$50.12	$66.07	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $25.70 / $38.90	Professional	26	$19.50	$25.70	$38.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $61.66	Professional	TC	$30.20	$40.74	$61.66
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $109.65 / $190.55	Professional		$70.79	$109.65	$190.55
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $51.29 / $104.71	Professional	26	$29.51	$51.29	$104.71
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $53.70 / $91.20	Professional	TC	$40.74	$53.70	$91.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $190.55	Facility	TC	$158.49	$158.49	$190.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $74.13 / $144.54	Professional		$64.57	$74.13	$144.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $30.20 / $70.79	Professional	26	$27.54	$30.20	$70.79
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $29.51 / $35.48	Professional	26	$23.99	$29.51	$35.48
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $93.33 / $97.72	Facility		$54.95	$93.33	$97.72
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.91 / $38.02 / $39.81	Facility	26	$22.91	$38.02	$39.81
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $54.95 / $151.36	Facility	TC	$31.62	$54.95	$151.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $79.43 / $177.83	Professional		$47.86	$79.43	$177.83
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $32.36 / $72.44	Professional	26	$20.42	$32.36	$72.44
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $42.66 / $95.50	Professional	TC	$28.84	$42.66	$95.50
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $117.49 / $239.88	Professional		$95.50	$117.49	$239.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $56.23 / $131.83	Professional		$25.70	$56.23	$131.83
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $67.61	Professional	26	$26.30	$26.30	$67.61
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $38.02 / $52.48	Professional	TC	$37.15	$38.02	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $162.18	Facility		$151.36	$151.36	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $67.61 / $125.89	Professional		$38.90	$67.61	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $28.18 / $53.70	Professional	26	$16.22	$28.18	$53.70
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 88112