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 / $147.91 / $147.91	Facility	26	$51.29	$147.91	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $46.77 / $109.65	Professional		$38.02	$46.77	$109.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $39.81 / $186.21	Professional	26	$26.92	$39.81	$186.21
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $15.85 / $47.86	Professional	TC	$12.30	$15.85	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $57.54 / $95.50	Professional		$54.95	$57.54	$95.50
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $63.10	Professional	26	$36.31	$38.02	$63.10
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $19.05 / $32.36	Professional	TC	$18.62	$19.05	$32.36
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $83.18	Professional		$25.12	$39.81	$83.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $23.99 / $52.48	Professional	26	$16.60	$23.99	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.13 / $12.59 / $28.84	Professional	TC	$8.13	$12.59	$28.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $53.70 / $81.28	Professional		$40.74	$53.70	$81.28
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $34.67 / $52.48	Professional	26	$26.30	$34.67	$52.48
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $19.50 / $29.51	Professional	TC	$14.45	$19.50	$29.51
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $66.07 / $114.82	Professional		$45.71	$66.07	$114.82
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $44.67 / $75.86	Professional	26	$33.11	$44.67	$75.86
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $21.38 / $34.67	Professional	TC	$12.59	$21.38	$34.67
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.90 / $43.65	Professional	26	$36.31	$38.90	$43.65
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $51.29 / $54.95	Facility	26	$30.90	$51.29	$54.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $54.95 / $131.83	Professional		$38.90	$54.95	$131.83
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $33.88 / $87.10	Professional	26	$24.55	$33.88	$87.10
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $18.62 / $43.65	Professional	TC	$14.13	$18.62	$43.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $117.49 / $245.47	Professional		$81.28	$117.49	$245.47
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $53.70 / $190.55	Professional		$12.59	$53.70	$190.55
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $36.31 / $37.15	Professional	26	$35.48	$36.31	$37.15
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $17.78 / $20.42	Professional	TC	$11.48	$17.78	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $56.23 / $93.33	Professional		$30.90	$56.23	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $38.90 / $69.18	Professional	26	$21.38	$38.90	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.77 / $16.98 / $30.20	Professional	TC	$9.77	$16.98	$30.20

Pennsylvania rates for HCPCS 88334