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 $199.53 / $660.69 / $660.69	Facility		$199.53	$660.69	$660.69
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $91.20 / $151.36 / $151.36	Facility	26	$91.20	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $144.54 / $363.08	Professional		$104.71	$144.54	$363.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $74.13 / $380.19	Professional	26	$30.20	$74.13	$380.19
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $102.33 / $194.98	Professional	TC	$69.18	$102.33	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $35.48 / $70.79	Professional	26	$18.20	$35.48	$70.79
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional	TC	$125.89	$125.89	$125.89
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $234.42	Professional		$120.23	$194.98	$234.42
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $204.17 / $281.84	Professional		$165.96	$204.17	$281.84
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $48.98 / $72.44	Professional	26	$37.15	$48.98	$72.44
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $134.90 / $218.78	Professional	TC	$128.82	$134.90	$218.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $102.33 / $213.80	Professional		$56.23	$102.33	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.70 / $54.95	Professional	26	$17.78	$25.70	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $69.18 / $162.18	Professional	TC	$36.31	$69.18	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $177.83 / $269.15	Professional		$131.83	$177.83	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $35.48 / $53.70	Professional	26	$26.92	$35.48	$53.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $141.25 / $213.80	Professional	TC	$104.71	$141.25	$213.80
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $177.83 / $281.84	Professional		$109.65	$177.83	$281.84
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $74.13	Professional	26	$38.02	$44.67	$74.13
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $134.90 / $218.78	Professional	TC	$70.79	$134.90	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $177.83 / $186.21	Professional		$165.96	$177.83	$186.21
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $41.69 / $60.26	Professional	26	$38.90	$41.69	$60.26
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $323.59	Professional		$120.23	$194.98	$323.59
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $38.90 / $48.98	Professional	26	$33.11	$38.90	$48.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $338.84	Professional		$109.65	$162.18	$338.84
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $38.90 / $75.86	Professional	26	$27.54	$38.90	$75.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $123.03 / $269.15	Professional	TC	$75.86	$123.03	$269.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $302.00 / $467.74	Professional		$199.53	$302.00	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $158.49 / $245.47	Professional		$37.15	$158.49	$245.47
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $38.02 / $43.65	Professional	26	$36.31	$38.02	$43.65
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $120.23 / $134.90	Professional	TC	$79.43	$120.23	$134.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,096.48	Facility		$1,047.13	$1,047.13	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $165.96 / $269.15	Professional		$87.10	$165.96	$269.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $38.90 / $72.44	Professional	26	$21.38	$38.90	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $125.89 / $208.93	Professional	TC	$69.18	$125.89	$208.93

Pennsylvania rates for HCPCS 88344