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 $134.90 / $245.47 / $660.69	Facility		$134.90	$245.47	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $234.42 / $275.42	Facility	26	$58.88	$234.42	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $363.08	Professional		$95.50	$144.54	$363.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $144.54 / $512.86	Professional	26	$54.95	$144.54	$512.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $77.62 / $158.49	Professional	TC	$52.48	$77.62	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $64.57 / $128.82	Professional	26	$33.11	$64.57	$128.82
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	TC	$93.33	$93.33	$93.33
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $75.86 / $91.20	Professional	26	$75.86	$75.86	$91.20
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $186.21 / $338.84	Professional		$165.96	$186.21	$338.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $91.20 / $169.82	Professional	26	$67.61	$91.20	$169.82
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $102.33 / $169.82	Professional	TC	$95.50	$102.33	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility		$169.82	$169.82	$169.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $95.50 / $218.78	Professional		$61.66	$95.50	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $100.00	Professional	26	$31.62	$46.77	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $51.29 / $112.20	Professional	TC	$29.51	$51.29	$112.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $257.04	Professional		$125.89	$169.82	$257.04
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $64.57 / $97.72	Professional	26	$48.98	$64.57	$97.72
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $104.71 / $158.49	Professional	TC	$77.62	$104.71	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $186.21 / $295.12	Professional		$123.03	$186.21	$295.12
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $85.11 / $151.36	Professional	26	$69.18	$85.11	$151.36
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $107.15 / $162.18	Professional	TC	$51.29	$107.15	$162.18
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional		$229.09	$229.09	$229.09
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $72.44 / $100.00	Professional	26	$69.18	$72.44	$100.00
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $75.86 / $91.20	Professional	26	$61.66	$75.86	$91.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $234.42 / $234.42	Facility		$128.82	$234.42	$234.42
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $58.88 / $95.50 / $102.33	Facility	26	$58.88	$95.50	$102.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $323.59	Professional		$104.71	$151.36	$323.59
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $70.79 / $158.49	Professional	26	$51.29	$70.79	$158.49
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $177.83	Professional	TC	$61.66	$85.11	$177.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $281.84 / $562.34	Professional		$223.87	$281.84	$562.34
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $114.82 / $338.84	Professional		$14.13	$114.82	$338.84
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $67.61 / $74.13	Professional	26	$67.61	$67.61	$74.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $87.10 / $89.13	Professional	TC	$40.74	$87.10	$89.13
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 $75.86 / $151.36 / $269.15	Professional		$75.86	$151.36	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $72.44 / $120.23	Professional	26	$39.81	$72.44	$120.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $77.62 / $141.25	Professional	TC	$42.66	$77.62	$141.25

Pennsylvania rates for HCPCS 88173