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 $17.38 / $28.18 / $81.28	Facility		$17.38	$28.18	$81.28
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $41.69 / $48.98	Facility	26	$10.47	$41.69	$48.98
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.02 / $32.36 / $91.20	Facility	TC	$12.02	$32.36	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $19.50 / $52.48	Professional		$14.13	$19.50	$52.48
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $25.12 / $66.07	Professional	26	$8.91	$25.12	$66.07
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $7.08 / $12.88	Professional	TC	$5.01	$7.08	$12.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.75 / $10.96 / $22.91	Professional	26	$5.75	$10.96	$22.91
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $13.49 / $16.22	Professional	26	$12.59	$13.49	$16.22
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $36.31 / $38.90	Facility		$19.95	$36.31	$38.90
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $36.31 / $38.90	Facility	TC	$19.95	$36.31	$38.90
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.30 / $39.81	Professional		$19.95	$26.30	$39.81
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.85 / $29.51	Professional	26	$12.02	$15.85	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.03 / $8.32 / $15.85	Professional	TC	$6.03	$8.32	$15.85
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $13.49 / $30.20	Professional		$8.32	$13.49	$30.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $8.32 / $18.20	Professional	26	$5.62	$8.32	$18.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.82 / $4.57 / $11.22	Professional	TC	$2.82	$4.57	$11.22
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.95 / $30.20	Professional		$14.79	$19.95	$30.20
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $11.22 / $16.98	Professional	26	$8.51	$11.22	$16.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.46 / $8.71 / $13.18	Professional	TC	$6.46	$8.71	$13.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $23.99 / $40.74	Professional		$16.98	$23.99	$40.74
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.79 / $26.30	Professional	26	$12.02	$14.79	$26.30
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.57 / $9.12 / $13.49	Professional	TC	$4.57	$9.12	$13.49
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $20.89 / $20.89	Professional		$14.13	$20.89	$20.89
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.59 / $19.50	Professional	26	$12.02	$12.59	$19.50
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.75 / $5.75 / $6.03	Professional	TC	$5.75	$5.75	$6.03
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $20.42 / $21.88	Professional		$19.05	$20.42	$21.88
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.49 / $16.22	Professional	26	$10.96	$13.49	$16.22
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.71 / $8.71 / $19.05	Professional	TC	$8.71	$8.71	$19.05
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $28.18 / $30.20	Facility		$17.38	$28.18	$30.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $16.60 / $17.78	Facility	26	$10.47	$16.60	$17.78
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.92 / $11.48 / $12.02	Facility	TC	$6.92	$11.48	$12.02
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.38 / $43.65	Professional		$15.14	$21.38	$43.65
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $12.88 / $27.54	Professional	26	$8.91	$12.88	$27.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.62 / $8.13 / $17.38	Professional	TC	$5.62	$8.13	$17.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $34.67 / $53.70	Professional		$20.89	$34.67	$53.70
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.33 / $19.95 / $42.66	Professional		$9.33	$19.95	$42.66
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $19.50	Professional	26	$12.02	$12.02	$19.50
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.50 / $7.76 / $8.71	Professional	TC	$5.50	$7.76	$8.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $20.42 / $37.15	Professional		$11.75	$20.42	$37.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.59 / $22.91	Professional	26	$7.08	$12.59	$22.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.27 / $8.51 / $13.80	Professional	TC	$4.27	$8.51	$13.80

Pennsylvania rates for HCPCS 88311