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 $48.98 / $141.25 / $141.25	Facility	26	$48.98	$141.25	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $128.82 / $436.52	Professional		$79.43	$128.82	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $54.95 / $138.04	Professional	26	$22.91	$54.95	$138.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $91.20 / $204.17	Professional	TC	$36.31	$91.20	$204.17
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $144.54 / $245.47	Professional		$128.82	$144.54	$245.47
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $46.77 / $104.71	Professional	26	$34.67	$46.77	$104.71
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $109.65 / $186.21	Professional	TC	$48.98	$109.65	$186.21
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $74.13 / $165.96	Professional		$44.67	$74.13	$165.96
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $26.30 / $54.95	Professional	26	$17.38	$26.30	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $52.48 / $120.23	Professional	TC	$25.70	$52.48	$120.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $141.25 / $213.80	Professional		$104.71	$141.25	$213.80
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 $79.43 / $107.15 / $162.18	Professional	TC	$79.43	$107.15	$162.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $154.88 / $223.87	Professional		$87.10	$154.88	$223.87
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $47.86 / $79.43	Professional	26	$36.31	$47.86	$79.43
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $107.15 / $165.96	Professional	TC	$40.74	$107.15	$165.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $154.88 / $162.18	Professional		$138.04	$154.88	$162.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $40.74 / $63.10	Professional	26	$36.31	$40.74	$63.10
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $141.25	Professional		$141.25	$141.25	$141.25
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $36.31 / $46.77	Professional	26	$30.90	$36.31	$46.77
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional	TC	$107.15	$107.15	$107.15
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $48.98 / $48.98 / $52.48	Facility	26	$48.98	$48.98	$52.48
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $134.90 / $331.13	Professional		$79.43	$134.90	$331.13
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $93.33	Professional	26	$25.70	$38.02	$93.33
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $100.00 / $229.09	Professional	TC	$51.29	$100.00	$229.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $208.93 / $407.38	Professional		$162.18	$208.93	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $74.13 / $354.81	Professional		$11.22	$74.13	$354.81
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $45.71	Professional	26	$34.67	$34.67	$45.71
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $109.65 / $120.23	Professional	TC	$52.48	$109.65	$120.23
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $123.03 / $194.98	Professional		$56.23	$123.03	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $37.15 / $66.07	Professional	26	$20.42	$37.15	$66.07
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $85.11 / $138.04	Professional	TC	$46.77	$85.11	$138.04

Pennsylvania rates for HCPCS 88346