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 $58.88 / $102.33 / $102.33	Facility	26	$58.88	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $128.82	Professional		$39.81	$57.54	$128.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.42 / $83.18	Professional	26	$15.14	$20.42	$83.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $89.13	Professional	TC	$23.99	$37.15	$89.13
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $85.11 / $128.82	Professional		$81.28	$85.11	$128.82
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $61.66	Professional	26	$24.55	$32.36	$61.66
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $58.88 / $85.11	Professional	TC	$39.81	$58.88	$85.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $41.69 / $91.20	Professional		$26.30	$41.69	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $16.22 / $36.31	Professional	26	$11.75	$16.22	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $26.92 / $58.88	Professional	TC	$13.80	$26.92	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $85.11 / $128.82	Professional		$63.10	$85.11	$128.82
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 $44.67 / $61.66 / $93.33	Professional	TC	$44.67	$61.66	$93.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $93.33 / $134.90	Professional		$52.48	$93.33	$134.90
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $54.95	Professional	26	$25.12	$30.90	$54.95
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $58.88 / $93.33	Professional	TC	$25.70	$58.88	$93.33
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $26.30 / $43.65	Professional	26	$24.55	$26.30	$43.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $104.71	Professional		$39.81	$57.54	$104.71
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.89 / $36.31	Professional	26	$15.14	$20.89	$36.31
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $75.86	Professional	TC	$23.99	$37.15	$75.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $120.23 / $223.87	Professional		$69.18	$120.23	$223.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $63.10 / $75.86	Professional		$7.41	$63.10	$75.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $25.12 / $28.18	Professional	26	$24.55	$25.12	$28.18
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $47.86 / $50.12	Professional	TC	$34.67	$47.86	$50.12
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $66.07 / $109.65	Professional		$30.90	$66.07	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $25.70 / $46.77	Professional	26	$14.13	$25.70	$46.77
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $40.74 / $72.44	Professional	TC	$22.39	$40.74	$72.44

Pennsylvania rates for HCPCS 88161