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 $93.33 / $338.84 / $831.76	Facility		$93.33	$338.84	$831.76
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $95.50 / $112.20	Facility	26	$23.44	$95.50	$112.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $97.72 / $398.11 / $870.96	Facility	TC	$97.72	$398.11	$870.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $117.49 / $691.83	Professional		$61.66	$117.49	$691.83
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $87.10 / $645.65	Professional	26	$21.88	$87.10	$645.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $60.26 / $537.03	Professional	TC	$38.90	$60.26	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $87.10	Professional		$43.65	$43.65	$87.10
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $25.70 / $51.29	Professional	26	$13.49	$25.70	$51.29
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $28.84 / $50.12	Professional	26	$23.44	$28.84	$50.12
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $147.91 / $269.15 / $288.40	Facility	TC	$147.91	$269.15	$288.40
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $112.20 / $151.36	Professional		$93.33	$112.20	$151.36
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $36.31 / $47.86	Professional	26	$27.54	$36.31	$47.86
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $75.86 / $102.33	Professional	TC	$66.07	$75.86	$102.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $58.88 / $117.49	Professional		$32.36	$58.88	$117.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $17.38 / $36.31	Professional	26	$10.72	$17.38	$36.31
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $38.90 / $83.18	Professional	TC	$21.38	$38.90	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $144.54	Professional		$70.79	$95.50	$144.54
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.30 / $39.81	Professional	26	$19.95	$26.30	$39.81
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $69.18 / $104.71	Professional	TC	$51.29	$69.18	$104.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $97.72 / $154.88	Professional		$64.57	$97.72	$154.88
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $30.20 / $45.71	Professional	26	$21.38	$30.20	$45.71
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $67.61 / $107.15	Professional	TC	$42.66	$67.61	$107.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $100.00 / $186.21	Professional		$30.20	$100.00	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $28.84 / $39.81	Professional	26	$26.92	$28.84	$39.81
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $53.70 / $120.23	Professional	TC	$33.88	$53.70	$120.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $91.20 / $123.03	Professional		$87.10	$91.20	$123.03
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $28.84 / $50.12	Professional	26	$24.55	$28.84	$50.12
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $125.89 / $131.83	Facility		$72.44	$125.89	$131.83
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $38.90 / $40.74	Facility	26	$23.44	$38.90	$40.74
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $48.98 / $83.18 / $93.33	Facility	TC	$48.98	$83.18	$93.33
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $87.10 / $173.78	Professional		$57.54	$87.10	$173.78
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $26.30 / $52.48	Professional	26	$18.20	$26.30	$52.48
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $58.88 / $120.23	Professional	TC	$39.81	$58.88	$120.23
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $169.82 / $269.15	Professional		$117.49	$169.82	$269.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $35.48 / $95.50	Professional		$9.12	$35.48	$95.50
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $26.92	Professional	26	$23.44	$23.44	$26.92
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $46.77 / $54.95	Professional	TC	$46.77	$46.77	$54.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $89.13 / $162.18	Professional		$47.86	$89.13	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $28.84 / $54.95	Professional	26	$15.85	$28.84	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $60.26 / $109.65	Professional	TC	$33.11	$60.26	$109.65

Pennsylvania rates for HCPCS 88341