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 $29.51 / $83.18 / $141.25	Facility	26	$29.51	$83.18	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $48.98 / $223.87	Professional		$34.67	$48.98	$223.87
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $70.79 / $218.78	Professional	26	$25.70	$70.79	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $18.20 / $53.70	Professional	TC	$12.88	$18.20	$53.70
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $16.98 / $64.57	Professional	26	$16.98	$16.98	$64.57
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $74.13	Professional	26	$34.67	$46.77	$74.13
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $23.44 / $45.71	Professional	TC	$20.89	$23.44	$45.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $79.43	Professional		$23.99	$37.15	$79.43
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $23.99 / $52.48	Professional	26	$14.45	$23.99	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.12 / $13.80 / $28.84	Professional	TC	$9.12	$13.80	$28.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $54.95 / $83.18	Professional		$40.74	$54.95	$83.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $48.98	Professional	26	$24.55	$32.36	$48.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $21.88 / $33.11	Professional	TC	$16.22	$21.88	$33.11
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $66.07 / $114.82	Professional		$48.98	$66.07	$114.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $70.79	Professional	26	$31.62	$41.69	$70.79
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $23.99 / $42.66	Professional	TC	$16.22	$23.99	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $36.31 / $54.95	Professional	26	$34.67	$36.31	$54.95
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $45.71	Professional	26	$30.90	$36.31	$45.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.18 / $29.51 / $51.29	Facility	26	$28.18	$29.51	$51.29
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $53.70 / $120.23	Professional		$38.90	$53.70	$120.23
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $32.36 / $81.28	Professional	26	$25.12	$32.36	$81.28
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $21.38 / $46.77	Professional	TC	$14.13	$21.38	$46.77
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $95.50 / $144.54	Professional		$61.66	$95.50	$144.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $52.48 / $74.13	Professional		$8.71	$52.48	$74.13
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $34.67	Professional	26	$33.88	$33.88	$34.67
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $19.05 / $19.95	Professional	TC	$17.38	$19.05	$19.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $54.95 / $93.33	Professional		$26.92	$54.95	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $35.48 / $66.07	Professional	26	$18.62	$35.48	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.72 / $18.20 / $32.36	Professional	TC	$10.72	$18.20	$32.36

Pennsylvania rates for HCPCS 88172