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 $51.29 / $208.93 / $245.47	Facility	26	$51.29	$208.93	$245.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $83.18 / $234.42	Professional		$61.66	$83.18	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $75.86 / $218.78	Professional	26	$47.86	$75.86	$218.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $30.20 / $64.57	Professional	TC	$21.88	$30.20	$64.57
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $56.23	Professional	26	$56.23	$56.23	$56.23
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $93.33 / $158.49	Professional		$89.13	$93.33	$158.49
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $61.66 / $104.71	Professional	26	$60.26	$61.66	$104.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $30.90 / $53.70	Professional	TC	$30.20	$30.90	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $138.04	Professional		$42.66	$66.07	$138.04
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $89.13	Professional	26	$28.18	$41.69	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $20.42 / $48.98	Professional	TC	$13.80	$20.42	$48.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $89.13 / $134.90	Professional		$66.07	$89.13	$134.90
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 $23.44 / $32.36 / $47.86	Professional	TC	$23.44	$32.36	$47.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $186.21	Professional		$85.11	$109.65	$186.21
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $74.13 / $123.03	Professional	26	$60.26	$74.13	$123.03
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $35.48 / $57.54	Professional	TC	$20.89	$35.48	$57.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $60.26 / $64.57 / $74.13	Professional	26	$60.26	$64.57	$74.13
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 26 Typical Low / Median / Typical High $51.29 / $85.11 / $89.13	Facility	26	$51.29	$85.11	$89.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $213.80	Professional		$67.61	$97.72	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $64.57 / $147.91	Professional	26	$43.65	$64.57	$147.91
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $75.86	Professional	TC	$22.91	$36.31	$75.86
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $186.21 / $398.11	Professional		$131.83	$186.21	$398.11
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $75.86 / $120.23	Professional		$14.79	$75.86	$120.23
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $60.26 / $61.66	Professional	26	$58.88	$60.26	$61.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.20 / $30.90	Professional	TC	$20.42	$30.20	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $154.88	Professional		$48.98	$89.13	$154.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $64.57 / $107.15	Professional	26	$35.48	$64.57	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $25.12 / $44.67	Professional	TC	$15.14	$25.12	$44.67

Pennsylvania rates for HCPCS 88333