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 $23.99 / $47.86 / $128.82	Facility		$23.99	$47.86	$128.82
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.75 / $16.22 / $27.54	Facility	26	$5.75	$16.22	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $38.90 / $100.00	Professional		$20.89	$38.90	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $14.45 / $36.31	Professional	26	$5.37	$14.45	$36.31
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $30.90 / $93.33	Professional	TC	$16.22	$30.90	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.09 / $3.16 / $6.31	Professional	26	$3.09	$3.16	$6.31
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $36.31 / $44.67	Professional		$33.88	$36.31	$44.67
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $7.41 / $8.91	Professional	26	$7.08	$7.41	$8.91
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $77.62	Professional		$32.36	$48.98	$77.62
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.23 / $16.60	Professional	26	$6.61	$10.23	$16.60
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $37.15 / $69.18	Professional	TC	$25.70	$37.15	$69.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $27.54 / $56.23	Professional		$15.14	$27.54	$56.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.16 / $4.79 / $11.75	Professional	26	$3.16	$4.79	$11.75
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $23.44 / $46.77	Professional	TC	$12.02	$23.44	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $33.11 / $50.12	Professional		$24.55	$33.11	$50.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $6.61 / $10.00	Professional	26	$5.01	$6.61	$10.00
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.92 / $40.74	Professional	TC	$19.95	$26.92	$40.74
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $44.67 / $79.43	Professional		$33.11	$44.67	$79.43
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $8.51 / $14.79	Professional	26	$7.08	$8.51	$14.79
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $37.15 / $66.07	Professional	TC	$25.70	$37.15	$66.07
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $34.67 / $36.31	Professional		$29.51	$34.67	$36.31
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $7.24 / $10.96	Professional	26	$6.76	$7.24	$10.96
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $36.31 / $60.26	Professional		$33.88	$36.31	$60.26
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $7.41 / $8.91	Professional	26	$6.03	$7.41	$8.91
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $25.70 / $46.77	Facility		$24.55	$25.70	$46.77
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.50 / $5.75 / $10.00	Facility	26	$5.50	$5.75	$10.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $37.15 / $74.13	Professional		$21.88	$37.15	$74.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.57 / $6.92 / $15.85	Professional	26	$4.57	$6.92	$15.85
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $29.51 / $61.66	Professional	TC	$18.20	$29.51	$61.66
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $57.54 / $120.23	Professional		$46.77	$57.54	$120.23
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $19.05 / $47.86	Professional		$6.31	$19.05	$47.86
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $6.92 / $10.96	Professional	26	$6.61	$6.92	$10.96
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $26.92 / $36.31	Professional	TC	$23.99	$26.92	$36.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $114.82	Facility		$109.65	$109.65	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $29.51 / $54.95	Professional		$16.60	$29.51	$54.95
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.89 / $7.08 / $13.18	Professional	26	$3.89	$7.08	$13.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $23.44 / $43.65	Professional	TC	$13.49	$23.44	$43.65

Pennsylvania rates for HCPCS 88302