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 $95.50 / $275.42 / $691.83	Facility		$95.50	$275.42	$691.83
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $245.47 / $245.47	Facility	26	$85.11	$245.47	$245.47
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $95.50 / $162.18 / $645.65	Facility	TC	$95.50	$162.18	$645.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $257.04	Professional		$70.79	$95.50	$257.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $169.82 / $691.83	Professional	26	$52.48	$169.82	$691.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $70.79	Professional	TC	$25.12	$34.67	$70.79
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $29.51 / $56.23	Professional	26	$29.51	$29.51	$56.23
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $93.33 / $173.78 / $186.21	Facility	TC	$93.33	$173.78	$186.21
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $120.23 / $194.98	Professional		$100.00	$120.23	$194.98
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $79.43 / $147.91	Professional	26	$60.26	$79.43	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $39.81 / $67.61	Professional	TC	$38.90	$39.81	$67.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $63.10 / $144.54	Professional		$41.69	$63.10	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $40.74 / $91.20	Professional	26	$28.18	$40.74	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $20.89 / $46.77	Professional	TC	$13.18	$20.89	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $97.72 / $147.91	Professional		$72.44	$97.72	$147.91
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $56.23 / $85.11	Professional	26	$42.66	$56.23	$85.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $61.66	Professional	TC	$30.20	$40.74	$61.66
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $194.98	Professional		$85.11	$114.82	$194.98
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $74.13 / $131.83	Professional	26	$60.26	$74.13	$131.83
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $43.65 / $63.10	Professional	TC	$20.89	$43.65	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $64.57 / $97.72	Professional	26	$60.26	$64.57	$97.72
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $63.10 / $79.43	Professional	26	$53.70	$63.10	$79.43
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $147.91	Facility		$138.04	$138.04	$147.91
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $85.11 / $85.11 / $89.13	Facility	26	$85.11	$85.11	$89.13
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $58.88	Facility	TC	$54.95	$54.95	$58.88
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $102.33 / $204.17	Professional		$70.79	$102.33	$204.17
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $63.10 / $131.83	Professional	26	$44.67	$63.10	$131.83
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $39.81 / $81.28	Professional	TC	$26.92	$39.81	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $177.83 / $380.19	Professional		$114.82	$177.83	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $97.72 / $204.17	Professional		$18.20	$97.72	$204.17
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $60.26 / $64.57	Professional	26	$58.88	$60.26	$64.57
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $38.90 / $42.66	Professional	TC	$25.12	$38.90	$42.66
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $524.81	Facility		$501.19	$501.19	$524.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $95.50 / $162.18	Professional		$53.70	$95.50	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $64.57 / $104.71	Professional	26	$35.48	$64.57	$104.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $33.11 / $58.88	Professional	TC	$18.20	$33.11	$58.88

Pennsylvania rates for HCPCS 88331