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 $123.03 / $346.74 / $346.74	Facility	26	$123.03	$346.74	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $123.03 / $380.19	Professional		$85.11	$123.03	$380.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $85.11 / $269.15	Professional	26	$60.26	$85.11	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $32.36 / $91.20	Professional	TC	$19.95	$32.36	$91.20
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $120.23 / $194.98	Professional		$114.82	$120.23	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $89.13 / $147.91	Professional	26	$87.10	$89.13	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $29.51 / $47.86	Professional	TC	$28.84	$29.51	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $87.10 / $190.55	Professional		$54.95	$87.10	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $123.03	Professional	26	$40.74	$54.95	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $30.20 / $66.07	Professional	TC	$14.13	$30.20	$66.07
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $169.82	Professional		$85.11	$112.20	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $81.28 / $123.03	Professional	26	$61.66	$81.28	$123.03
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $30.90 / $46.77	Professional	TC	$22.91	$30.90	$46.77
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $151.36 / $245.47	Professional		$109.65	$151.36	$245.47
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $104.71 / $177.83	Professional	26	$74.13	$104.71	$177.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $45.71 / $85.11	Professional	TC	$30.20	$45.71	$85.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $151.36	Professional		$131.83	$131.83	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $91.20 / $141.25	Professional	26	$87.10	$91.20	$141.25
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $75.86 / $89.13 / $112.20	Professional	26	$75.86	$89.13	$112.20
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $123.03 / $123.03 / $128.82	Facility	26	$123.03	$123.03	$128.82
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $125.89 / $295.12	Professional		$85.11	$125.89	$295.12
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $77.62 / $213.80	Professional	26	$60.26	$77.62	$213.80
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $39.81 / $89.13	Professional	TC	$19.95	$39.81	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $257.04 / $549.54	Professional		$169.82	$257.04	$549.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $109.65 / $389.05	Professional		$7.08	$109.65	$389.05
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $89.13 / $89.13	Professional	26	$83.18	$89.13	$89.13
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $54.95 / $54.95	Professional	TC	$26.30	$54.95	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $114.82 / $190.55	Professional		$61.66	$114.82	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $89.13 / $147.91	Professional	26	$48.98	$89.13	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $26.30 / $47.86	Professional	TC	$15.14	$26.30	$47.86

Pennsylvania rates for HCPCS 88323