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 $79.43 / $131.83 / $831.76	Facility		$79.43	$131.83	$831.76
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $87.10 / $147.91	Facility	26	$30.90	$87.10	$147.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $131.83 / $380.19 / $954.99	Facility	TC	$131.83	$380.19	$954.99
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $158.49 / $776.25	Professional		$56.23	$158.49	$776.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $144.54 / $831.76	Professional	26	$33.88	$144.54	$831.76
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $85.11 / $588.84	Professional	TC	$25.70	$85.11	$588.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $79.43	Professional		$32.36	$33.11	$79.43
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $17.78 / $69.18	Professional	26	$16.98	$17.78	$69.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $16.22 / $32.36	Professional	TC	$16.22	$16.22	$32.36
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $81.28 / $125.89	Professional		$75.86	$81.28	$125.89
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $39.81 / $50.12	Professional	26	$38.02	$39.81	$50.12
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $38.90 / $46.77	Professional	TC	$36.31	$38.90	$46.77
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $213.80 / $398.11 / $416.87	Facility	TC	$213.80	$398.11	$416.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $144.54	Professional		$74.13	$112.20	$144.54
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $48.98 / $93.33	Professional	26	$38.02	$48.98	$93.33
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $48.98 / $89.13	Professional	TC	$35.48	$48.98	$89.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $64.57 / $125.89	Professional		$33.88	$64.57	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $25.12 / $64.57	Professional	26	$16.98	$25.12	$64.57
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $33.88 / $75.86	Professional	TC	$16.22	$33.88	$75.86
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $107.15	Professional		$52.48	$70.79	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $52.48	Professional	26	$26.30	$34.67	$52.48
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $36.31 / $54.95	Professional	TC	$26.92	$36.31	$54.95
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $95.50 / $147.91	Professional		$72.44	$95.50	$147.91
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $46.77 / $81.28	Professional	26	$37.15	$46.77	$81.28
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $53.70 / $81.28	Professional	TC	$36.31	$53.70	$81.28
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $269.15	Facility		$138.04	$138.04	$269.15
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $158.49 / $158.49 / $190.55	Facility	TC	$158.49	$158.49	$190.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $74.13 / $100.00	Professional		$69.18	$74.13	$100.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $40.74 / $60.26	Professional	26	$36.31	$40.74	$60.26
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $47.86 / $61.66	Professional	TC	$33.88	$47.86	$61.66
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $81.28 / $125.89	Professional		$75.86	$81.28	$125.89
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $39.81 / $50.12	Professional	26	$38.02	$39.81	$50.12
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $38.90 / $46.77	Professional	TC	$36.31	$38.90	$46.77
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $56.23 / $104.71	Facility		$52.48	$56.23	$104.71
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $29.51 / $30.90 / $53.70	Facility	26	$29.51	$30.90	$53.70
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $48.98 / $75.86	Facility	TC	$26.30	$48.98	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $158.49	Professional		$53.70	$81.28	$158.49
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $37.15 / $74.13	Professional	26	$27.54	$37.15	$74.13
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $41.69 / $87.10	Professional	TC	$25.70	$41.69	$87.10
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $125.89 / $269.15	Professional		$104.71	$125.89	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $30.20 / $128.82	Professional		$9.77	$30.20	$128.82
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $35.48 / $48.98	Professional	26	$35.48	$35.48	$48.98
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $33.11 / $64.57	Professional	TC	$32.36	$33.11	$64.57
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 $41.69 / $69.18 / $123.03	Professional		$41.69	$69.18	$123.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $38.90 / $70.79	Professional	26	$21.38	$38.90	$70.79
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $31.62 / $60.26	Professional	TC	$18.20	$31.62	$60.26

Pennsylvania rates for HCPCS 88305