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 $169.82 / $478.63 / $954.99	Facility		$169.82	$478.63	$954.99
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $141.25 / $165.96	Facility	26	$34.67	$141.25	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $131.83 / $407.38	Professional		$87.10	$131.83	$407.38
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $165.96 / $537.03	Professional	26	$37.15	$165.96	$537.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $74.13 / $302.00	Professional	TC	$53.70	$74.13	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $19.95 / $38.02	Professional	26	$19.95	$19.95	$38.02
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $60.26	Professional	26	$44.67	$44.67	$60.26
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $120.23 / $199.53	Professional		$114.82	$120.23	$199.53
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $41.69 / $70.79	Professional	26	$39.81	$41.69	$70.79
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $77.62 / $131.83	Professional	TC	$75.86	$77.62	$131.83
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 $54.95 / $81.28 / $177.83	Professional		$54.95	$81.28	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $35.48 / $72.44	Professional	26	$19.95	$35.48	$72.44
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $43.65 / $97.72	Professional	TC	$28.18	$43.65	$97.72
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $186.21	Professional		$91.20	$123.03	$186.21
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $38.02 / $57.54	Professional	26	$28.84	$38.02	$57.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $85.11 / $128.82	Professional	TC	$61.66	$85.11	$128.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $251.19	Professional		$102.33	$138.04	$251.19
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $61.66 / $100.00	Professional	26	$43.65	$61.66	$100.00
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $89.13 / $131.83	Professional	TC	$45.71	$89.13	$131.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $141.25	Professional		$109.65	$109.65	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $43.65 / $69.18	Professional	26	$40.74	$43.65	$69.18
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $44.67 / $53.70	Professional	26	$36.31	$44.67	$53.70
Independence Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	TC	$85.11	$85.11	$85.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $169.82 / $169.82	Facility		$100.00	$169.82	$169.82
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $57.54 / $60.26	Facility	26	$34.67	$57.54	$60.26
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $123.03 / $275.42	Professional		$87.10	$123.03	$275.42
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $45.71 / $109.65	Professional	26	$33.11	$45.71	$109.65
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $79.43 / $165.96	Professional	TC	$56.23	$79.43	$165.96
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $229.09 / $501.19	Professional		$154.88	$229.09	$501.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $114.82 / $346.74	Professional		$38.02	$114.82	$346.74
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $66.07	Professional	26	$39.81	$39.81	$66.07
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $48.98 / $70.79 / $74.13	Professional	TC	$48.98	$70.79	$74.13
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 $66.07 / $120.23 / $204.17	Professional		$66.07	$120.23	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $43.65 / $79.43	Professional	26	$24.55	$43.65	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $77.62 / $134.90	Professional	TC	$41.69	$77.62	$134.90

Pennsylvania rates for HCPCS 88360