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 $79.43 / $234.42 / $234.42	Facility	26	$79.43	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $1,445.44	Professional		$389.05	$478.63	$1,445.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $47.86 / $169.82	Professional	26	$37.15	$47.86	$169.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $436.52 / $1,288.25	Professional	TC	$354.81	$436.52	$1,288.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $691.83 / $831.76	Professional		$660.69	$691.83	$831.76
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $562.34 / $1,000.00	Professional		$537.03	$562.34	$1,000.00
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $58.88 / $97.72	Professional	26	$56.23	$58.88	$97.72
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $478.63 / $501.19 / $891.25	Professional	TC	$478.63	$501.19	$891.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $416.87 / $831.76	Professional		$251.19	$416.87	$831.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $42.66 / $83.18	Professional	26	$27.54	$42.66	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $363.08 / $741.31	Professional	TC	$223.87	$363.08	$741.31
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $562.34 / $851.14	Professional		$416.87	$562.34	$851.14
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $53.70 / $81.28	Professional	26	$40.74	$53.70	$81.28
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $501.19 / $758.58	Professional	TC	$371.54	$501.19	$758.58
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $436.52 / $575.44 / $1,023.29	Professional		$436.52	$575.44	$1,023.29
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $61.66 / $109.65	Professional	26	$52.48	$61.66	$109.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $389.05 / $512.86 / $891.25	Professional	TC	$389.05	$512.86	$891.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $575.44 / $630.96	Professional		$537.03	$575.44	$630.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	26	$93.33	$93.33	$93.33
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $691.83 / $1,148.15	Professional		$562.34	$691.83	$1,148.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $478.63 / $977.24	Professional		$389.05	$478.63	$977.24
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $45.71 / $89.13	Professional	26	$34.67	$45.71	$89.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $354.81 / $436.52 / $870.96	Professional	TC	$354.81	$436.52	$870.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,047.13 / $2,398.83	Professional		$724.44	$1,047.13	$2,398.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $467.74 / $562.34	Professional		$45.71	$467.74	$562.34
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $56.23 / $57.54	Professional	26	$54.95	$56.23	$57.54
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $416.87 / $501.19 / $524.81	Professional	TC	$416.87	$501.19	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $549.54 / $912.01	Professional		$302.00	$549.54	$912.01
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $58.88 / $97.72	Professional	26	$32.36	$58.88	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $501.19 / $812.83	Professional	TC	$275.42	$501.19	$812.83

Pennsylvania rates for HCPCS 88120