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 $43.65 / $199.53 / $446.68	Facility		$43.65	$199.53	$446.68
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $63.10 / $104.71	Facility	26	$21.88	$63.10	$104.71
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $123.03 / $338.84 / $758.58	Facility	TC	$123.03	$338.84	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $549.54	Professional		$83.18	$128.82	$549.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $66.07 / $234.42	Professional	26	$22.39	$66.07	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $81.28 / $128.82	Professional	TC	$48.98	$81.28	$128.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $24.55 / $48.98	Professional	26	$12.30	$24.55	$48.98
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $123.03 / $147.91	Professional		$107.15	$123.03	$147.91
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	26	$28.18	$28.18	$28.18
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	TC	$95.50	$95.50	$95.50
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $229.09 / $416.87 / $446.68	Facility	TC	$229.09	$416.87	$446.68
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $114.82 / $186.21	Professional		$107.15	$114.82	$186.21
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $33.88 / $66.07	Professional	26	$25.70	$33.88	$66.07
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $85.11 / $144.54	Professional	TC	$66.07	$85.11	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Facility		$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $138.04	Professional		$39.81	$60.26	$138.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $17.78 / $38.02	Professional	26	$12.30	$17.78	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $43.65 / $100.00	Professional	TC	$30.20	$43.65	$100.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $169.82	Professional		$83.18	$112.20	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $24.55 / $37.15	Professional	26	$18.62	$24.55	$37.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $87.10 / $131.83	Professional	TC	$64.57	$87.10	$131.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $123.03 / $190.55	Professional		$74.13	$123.03	$190.55
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $32.36 / $53.70	Professional	26	$26.30	$32.36	$53.70
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $93.33 / $138.04	Professional	TC	$46.77	$93.33	$138.04
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $138.04	Facility		$128.82	$128.82	$138.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $114.82 / $158.49	Professional		$107.15	$114.82	$158.49
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $27.54 / $42.66	Professional	26	$26.30	$27.54	$42.66
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $89.13 / $144.54	Professional	TC	$44.67	$89.13	$144.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $123.03 / $147.91	Professional		$104.71	$123.03	$147.91
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.92 / $34.67	Professional	26	$22.91	$26.92	$34.67
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $87.10 / $95.50	Professional	TC	$87.10	$87.10	$95.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $93.33 / $162.18	Facility		$54.95	$93.33	$162.18
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $21.88 / $38.90	Facility	26	$20.89	$21.88	$38.90
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $67.61 / $70.79 / $123.03	Facility	TC	$67.61	$70.79	$123.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $109.65 / $213.80	Professional		$70.79	$109.65	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $26.30 / $53.70	Professional	26	$19.05	$26.30	$53.70
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $83.18 / $165.96	Professional	TC	$61.66	$83.18	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $251.19	Professional		$112.20	$173.78	$251.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $74.13 / $218.78	Professional		$5.25	$74.13	$218.78
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $36.31	Professional	26	$25.70	$25.70	$36.31
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $81.28 / $89.13	Professional	TC	$60.26	$81.28	$89.13
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 $51.29 / $102.33 / $181.97	Professional		$51.29	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $27.54 / $48.98	Professional	26	$15.14	$27.54	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $74.13 / $131.83	Professional	TC	$40.74	$74.13	$131.83

Pennsylvania rates for HCPCS 88312