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 $79.43 / $190.55 / $398.11	Facility		$79.43	$190.55	$398.11
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $28.84 / $81.28 / $138.04	Facility	26	$28.84	$81.28	$138.04
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $162.18 / $257.04 / $776.25	Facility	TC	$162.18	$257.04	$776.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $128.82 / $512.86	Professional		$75.86	$128.82	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $72.44 / $269.15	Professional	26	$26.92	$72.44	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $70.79 / $169.82	Professional	TC	$45.71	$70.79	$169.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $102.33	Professional		$51.29	$51.29	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $31.62 / $64.57	Professional	26	$15.85	$31.62	$64.57
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $70.79	Professional	TC	$35.48	$35.48	$70.79
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $114.82 / $190.55	Professional		$109.65	$114.82	$190.55
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $37.15 / $47.86	Professional	26	$35.48	$37.15	$47.86
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	TC	$77.62	$77.62	$77.62
Capital Blue Cross Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $181.97 / $338.84 / $363.08	Facility	TC	$181.97	$338.84	$363.08
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $128.82 / $173.78	Professional		$109.65	$128.82	$173.78
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $45.71 / $104.71	Professional	26	$33.88	$45.71	$104.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $77.62 / $117.49	Professional	TC	$50.12	$77.62	$117.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $64.57 / $144.54	Professional		$44.67	$64.57	$144.54
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $25.70 / $60.26	Professional	26	$16.60	$25.70	$60.26
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $38.90 / $91.20	Professional	TC	$23.44	$38.90	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $112.20 / $169.82	Professional		$83.18	$112.20	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $32.36 / $48.98	Professional	26	$24.55	$32.36	$48.98
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $81.28 / $123.03	Professional	TC	$58.88	$81.28	$123.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $208.93	Professional		$83.18	$123.03	$208.93
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $47.86 / $85.11	Professional	26	$36.31	$47.86	$85.11
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $83.18 / $125.89	Professional	TC	$37.15	$83.18	$125.89
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $831.76	Facility		$446.68	$446.68	$831.76
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $346.74 / $512.86 / $831.76	Facility	TC	$346.74	$512.86	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $112.20 / $151.36	Professional		$36.31	$112.20	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $36.31 / $54.95	Professional	26	$34.67	$36.31	$54.95
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $75.86 / $81.28	Professional	TC	$43.65	$75.86	$81.28
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $138.04	Professional		$97.72	$114.82	$138.04
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $37.15 / $47.86	Professional	26	$33.88	$37.15	$47.86
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $77.62 / $93.33	Professional	TC	$67.61	$77.62	$93.33
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $120.23 / $154.88	Facility		$79.43	$120.23	$154.88
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $27.54 / $28.84 / $50.12	Facility	26	$27.54	$28.84	$50.12
Martin's Point Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $51.29 / $93.33 / $512.86	Facility	TC	$51.29	$93.33	$512.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $213.80	Professional		$70.79	$104.71	$213.80
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $36.31 / $81.28	Professional	26	$25.70	$36.31	$81.28
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $67.61 / $134.90	Professional	TC	$50.12	$67.61	$134.90
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $338.84	Professional		$117.49	$165.96	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $70.79 / $147.91	Professional		$17.78	$70.79	$147.91
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $34.67 / $48.98	Professional	26	$33.11	$34.67	$48.98
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $60.26 / $69.18	Professional	TC	$48.98	$60.26	$69.18
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 $51.29 / $102.33 / $181.97	Professional		$51.29	$102.33	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $36.31 / $66.07	Professional	26	$19.95	$36.31	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $66.07 / $107.15	Professional	TC	$36.31	$66.07	$107.15

Pennsylvania rates for HCPCS 88342