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 $60.26 / $102.33 / $102.33	Facility	26	$60.26	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $57.54 / $147.91	Professional		$44.67	$57.54	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $20.89 / $63.10	Professional	26	$15.85	$20.89	$63.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $34.67 / $109.65	Professional	TC	$26.30	$34.67	$109.65
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $83.18 / $128.82	Professional		$81.28	$83.18	$128.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $26.30 / $43.65	Professional	26	$25.12	$26.30	$43.65
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $57.54 / $83.18	Professional	TC	$53.70	$57.54	$83.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $42.66 / $93.33	Professional		$23.99	$42.66	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.98 / $38.90	Professional	26	$11.75	$16.98	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $26.30 / $58.88	Professional	TC	$12.30	$26.30	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $83.18 / $125.89	Professional		$61.66	$83.18	$125.89
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $23.44 / $35.48	Professional	26	$17.78	$23.44	$35.48
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 $48.98 / $87.10 / $131.83	Professional		$48.98	$87.10	$131.83
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $51.29	Professional	26	$25.12	$30.90	$51.29
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $57.54 / $91.20	Professional	TC	$21.88	$57.54	$91.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $28.84 / $30.20	Professional	26	$23.99	$28.84	$30.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $158.49	Professional		$44.67	$60.26	$158.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.88 / $58.88	Professional	26	$15.85	$21.88	$58.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.02 / $112.20	Professional	TC	$28.18	$38.02	$112.20
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $251.19	Professional		$100.00	$125.89	$251.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.03 / $45.71 / $77.62	Professional		$6.03	$45.71	$77.62
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $26.92	Professional	26	$24.55	$25.12	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $46.77 / $51.29	Professional	TC	$27.54	$46.77	$51.29
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $69.18 / $112.20	Professional		$31.62	$69.18	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $26.30 / $47.86	Professional	26	$14.45	$26.30	$47.86
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $42.66 / $75.86	Professional	TC	$23.44	$42.66	$75.86

Pennsylvania rates for HCPCS 88160