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 $33.88 / $81.28 / $165.96	Facility		$33.88	$81.28	$165.96
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $26.92 / $44.67	Facility	26	$9.55	$26.92	$44.67
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $74.13 / $229.09 / $467.74	Facility	TC	$74.13	$229.09	$467.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $66.07 / $309.03	Professional		$32.36	$66.07	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $25.70 / $72.44	Professional	26	$9.12	$25.70	$72.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $35.48 / $77.62	Professional	TC	$18.20	$35.48	$77.62
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $10.47 / $20.89	Professional	26	$5.01	$10.47	$20.89
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	TC	$28.18	$28.18	$28.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.30 / $15.14	Professional	26	$11.48	$12.30	$15.14
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	TC	$35.48	$35.48	$35.48
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $162.18 / $295.12 / $316.23	Facility	TC	$162.18	$295.12	$316.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $97.72	Professional		$41.69	$64.57	$97.72
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.98 / $26.92	Professional	26	$10.96	$16.98	$26.92
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $43.65 / $67.61	Professional	TC	$30.20	$43.65	$67.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $36.31 / $72.44	Professional		$19.95	$36.31	$72.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $7.41 / $19.05	Professional	26	$5.01	$7.41	$19.05
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $28.18 / $58.88	Professional	TC	$14.79	$28.18	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $42.66 / $64.57	Professional		$31.62	$42.66	$64.57
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $10.23 / $15.49	Professional	26	$7.76	$10.23	$15.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $32.36 / $47.86	Professional	TC	$23.44	$32.36	$47.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $58.88 / $102.33	Professional		$41.69	$58.88	$102.33
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.49 / $23.99	Professional	26	$10.96	$13.49	$23.99
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $46.77 / $81.28	Professional	TC	$30.20	$46.77	$81.28
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $147.91 / $263.03	Facility		$138.04	$147.91	$263.03
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	TC	$190.55	$190.55	$190.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $44.67 / $46.77	Professional		$40.74	$44.67	$46.77
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $11.75 / $18.62	Professional	26	$11.22	$11.75	$18.62
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $42.66 / $43.65	Professional	TC	$30.20	$42.66	$43.65
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $47.86 / $57.54	Professional		$42.66	$47.86	$57.54
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $12.30 / $14.79	Professional	26	$10.72	$12.30	$14.79
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $35.48 / $35.48	Professional	TC	$32.36	$35.48	$35.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $48.98 / $61.66	Facility		$32.36	$48.98	$61.66
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $9.55 / $16.60	Facility	26	$9.12	$9.55	$16.60
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $42.66 / $204.17	Facility	TC	$23.44	$42.66	$204.17
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $48.98 / $100.00	Professional		$30.20	$48.98	$100.00
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $21.88	Professional	26	$7.94	$11.48	$21.88
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $70.79	Professional	TC	$22.91	$36.31	$70.79
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $173.78	Professional		$61.66	$79.43	$173.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $23.99 / $60.26	Professional		$8.71	$23.99	$60.26
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $11.22 / $19.95	Professional	26	$10.96	$11.22	$19.95
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $30.20 / $40.74	Professional	TC	$28.84	$30.20	$40.74
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 $23.99 / $39.81 / $75.86	Professional		$23.99	$39.81	$75.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $11.75 / $21.38	Professional	26	$6.46	$11.75	$21.38
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $28.18 / $53.70	Professional	TC	$16.60	$28.18	$53.70

Pennsylvania rates for HCPCS 88304