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 $36.31 / $112.20 / $323.59	Facility		$36.31	$112.20	$323.59
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $28.18 / $47.86	Facility	26	$10.00	$28.18	$47.86
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $100.00 / $309.03 / $707.95	Facility	TC	$100.00	$309.03	$707.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $87.10 / $426.58	Professional		$58.88	$87.10	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $46.77 / $147.91	Professional	26	$10.00	$46.77	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $69.18 / $177.83	Professional	TC	$40.74	$69.18	$177.83
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $10.96 / $21.88	Professional	26	$5.50	$10.96	$21.88
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $107.15	Professional		$75.86	$89.13	$107.15
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.88 / $15.85	Professional	26	$12.30	$12.88	$15.85
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $190.55 / $354.81 / $380.19	Facility	TC	$190.55	$354.81	$380.19
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $81.28 / $134.90	Professional		$72.44	$81.28	$134.90
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $15.49 / $29.51	Professional	26	$11.75	$15.49	$29.51
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $69.18 / $114.82	Professional	TC	$48.98	$69.18	$114.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $43.65 / $100.00	Professional		$28.84	$43.65	$100.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $7.94 / $17.78	Professional	26	$5.50	$7.94	$17.78
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $37.15 / $81.28	Professional	TC	$23.99	$37.15	$81.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $83.18 / $125.89	Professional		$61.66	$83.18	$125.89
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 $53.70 / $72.44 / $109.65	Professional	TC	$53.70	$72.44	$109.65
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $89.13 / $134.90	Professional		$52.48	$89.13	$134.90
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $14.79 / $26.92	Professional	26	$12.02	$14.79	$26.92
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $75.86 / $112.20	Professional	TC	$39.81	$75.86	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $645.65	Facility		$346.74	$346.74	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $85.11 / $112.20	Professional		$79.43	$85.11	$112.20
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.88 / $19.05	Professional	26	$12.02	$12.88	$19.05
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $89.13	Professional	TC	$40.74	$40.74	$89.13
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $87.10 / $107.15	Professional		$75.86	$87.10	$107.15
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $12.88 / $15.85	Professional	26	$10.47	$12.88	$15.85
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	TC	$72.44	$72.44	$72.44
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $66.07 / $117.49	Facility		$63.10	$66.07	$117.49
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $10.00 / $17.38	Facility	26	$9.55	$10.00	$17.38
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $53.70 / $56.23 / $100.00	Facility	TC	$53.70	$56.23	$100.00
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $81.28 / $154.88	Professional		$50.12	$81.28	$154.88
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.02 / $23.99	Professional	26	$8.71	$12.02	$23.99
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $69.18 / $134.90	Professional	TC	$46.77	$69.18	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $177.83	Professional		$81.28	$123.03	$177.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $67.61 / $199.53	Professional		$4.17	$67.61	$199.53
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $11.48 / $13.49	Professional	26	$11.48	$11.48	$13.49
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $66.07 / $72.44	Professional	TC	$56.23	$66.07	$72.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $389.05 / $407.38	Facility		$389.05	$389.05	$407.38
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $72.44 / $128.82	Professional		$37.15	$72.44	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $12.30 / $22.39	Professional	26	$6.76	$12.30	$22.39
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $60.26 / $107.15	Professional	TC	$33.11	$60.26	$107.15

Pennsylvania rates for HCPCS 88313