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 26 Typical Low / Median / Typical High $47.86 / $83.18 / $83.18	Facility	26	$47.86	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $77.62 / $162.18	Professional		$54.95	$77.62	$162.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $20.89 / $147.91	Professional	26	$14.13	$20.89	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $60.26 / $87.10	Professional	TC	$39.81	$60.26	$87.10
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $91.20 / $151.36	Professional		$83.18	$91.20	$151.36
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $28.84 / $56.23	Professional	26	$19.50	$28.84	$56.23
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $66.07 / $117.49	Professional	TC	$44.67	$66.07	$117.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $51.29 / $125.89	Professional		$38.90	$51.29	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.45 / $38.02	Professional	26	$9.55	$14.45	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $39.81 / $97.72	Professional	TC	$28.18	$39.81	$97.72
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 $13.80 / $18.20 / $27.54	Professional	26	$13.80	$18.20	$27.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $66.07 / $100.00	Professional	TC	$48.98	$66.07	$100.00
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $102.33 / $169.82	Professional		$75.86	$102.33	$169.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.70 / $43.65	Professional	26	$19.95	$25.70	$43.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $75.86 / $128.82	Professional	TC	$57.54	$75.86	$128.82
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $20.42 / $31.62	Professional	26	$19.95	$20.42	$31.62
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $77.62 / $165.96	Professional		$54.95	$77.62	$165.96
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $16.98 / $51.29	Professional	26	$14.13	$16.98	$51.29
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $60.26 / $158.49	Professional	TC	$33.88	$60.26	$158.49
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $128.82 / $194.98	Professional		$117.49	$128.82	$194.98
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $51.29 / $309.03	Professional		$11.48	$51.29	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $26.92	Professional	26	$19.95	$19.95	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $66.07 / $72.44	Professional	TC	$30.20	$66.07	$72.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $85.11 / $141.25	Professional		$43.65	$85.11	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $21.88 / $33.88	Professional	26	$12.02	$21.88	$33.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $70.79 / $109.65	Professional	TC	$36.31	$70.79	$109.65

Pennsylvania rates for HCPCS 88314