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 $22.91 / $63.10 / $112.20	Facility		$22.91	$63.10	$112.20
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.72 / $15.14 / $17.78	Facility	26	$3.72	$15.14	$17.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $17.78 / $38.90	Professional		$10.00	$17.78	$38.90
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $8.32 / $21.38	Professional	26	$3.02	$8.32	$21.38
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.08 / $12.88 / $26.30	Professional	TC	$7.08	$12.88	$26.30
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.09 / $2.19 / $4.07	Professional	26	$2.09	$2.19	$4.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $17.78 / $21.88	Professional		$16.22	$17.78	$21.88
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.57 / $4.90 / $5.89	Professional	26	$4.57	$4.90	$5.89
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $109.65 / $117.49	Facility		$60.26	$109.65	$117.49
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $23.99 / $38.02	Professional		$16.22	$23.99	$38.02
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.37 / $5.89 / $10.00	Professional	26	$4.37	$5.89	$10.00
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $16.98 / $27.54	Professional	TC	$11.75	$16.98	$27.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $13.18 / $26.30	Professional		$7.59	$13.18	$26.30
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $2.95 / $7.24	Professional	26	$2.00	$2.95	$7.24
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.50 / $10.47 / $20.89	Professional	TC	$5.50	$10.47	$20.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $16.98 / $25.70	Professional		$12.59	$16.98	$25.70
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.24 / $4.37 / $6.61	Professional	26	$3.24	$4.37	$6.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.33 / $12.59 / $19.05	Professional	TC	$9.33	$12.59	$19.05
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.88 / $38.90	Professional		$15.14	$21.88	$38.90
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.27 / $5.50 / $9.33	Professional	26	$4.27	$5.50	$9.33
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $16.60 / $29.51	Professional	TC	$11.75	$16.60	$29.51
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,344.23 / $2,344.23	Facility		$2,344.23	$2,344.23	$2,344.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $10.96 / $21.88	Professional		$10.96	$10.96	$21.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.47 / $4.68 / $7.24	Professional	26	$4.47	$4.68	$7.24
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $17.78 / $29.51	Professional		$16.22	$17.78	$29.51
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $4.90 / $5.89	Professional	26	$3.89	$4.90	$5.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $22.91 / $22.91	Facility		$12.59	$22.91	$22.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.72 / $6.31 / $6.46	Facility	26	$3.72	$6.31	$6.46
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $18.20 / $37.15	Professional		$10.96	$18.20	$37.15
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.02 / $4.47 / $9.55	Professional	26	$3.02	$4.47	$9.55
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $7.94 / $13.18 / $28.18	Professional	TC	$7.94	$13.18	$28.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $27.54 / $57.54	Professional		$22.91	$27.54	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $16.98 / $28.18	Professional		$5.01	$16.98	$28.18
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.27 / $4.37 / $7.94	Professional	26	$4.27	$4.37	$7.94
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $11.22 / $15.85	Professional	TC	$10.96	$11.22	$15.85
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $89.13	Facility		$85.11	$85.11	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $15.14 / $27.54	Professional		$8.51	$15.14	$27.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.51 / $4.57 / $8.51	Professional	26	$2.51	$4.57	$8.51
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.17 / $10.47 / $19.95	Professional	TC	$6.17	$10.47	$19.95

Pennsylvania rates for HCPCS 88300