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 $36.31 / $147.91 / $173.78	Facility	26	$36.31	$147.91	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $109.65 / $194.98	Professional		$89.13	$109.65	$194.98
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $46.77 / $194.98	Professional	26	$33.88	$46.77	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $67.61 / $128.82	Professional	TC	$56.23	$67.61	$128.82
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $158.49 / $229.09	Professional		$112.20	$158.49	$229.09
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $147.91	Professional	26	$41.69	$58.88	$147.91
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $102.33 / $134.90	Professional	TC	$70.79	$102.33	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $107.15 / $208.93	Professional		$58.88	$107.15	$208.93
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $38.02 / $77.62	Professional	26	$20.89	$38.02	$77.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $58.88 / $131.83	Professional	TC	$37.15	$58.88	$131.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $177.83	Professional		$87.10	$117.49	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $58.88	Professional	26	$30.20	$38.90	$58.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $117.49	Professional	TC	$56.23	$77.62	$117.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $275.42	Professional		$123.03	$158.49	$275.42
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $64.57 / $109.65	Professional	26	$45.71	$64.57	$109.65
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $97.72 / $173.78	Professional	TC	$74.13	$97.72	$173.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $43.65 / $45.71	Professional	26	$42.66	$43.65	$45.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $56.23	Professional	26	$38.02	$44.67	$56.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $60.26 / $64.57	Facility	26	$36.31	$60.26	$64.57
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $109.65 / $190.55	Professional		$91.20	$109.65	$190.55
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $38.02 / $66.07	Professional	26	$33.11	$38.02	$66.07
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $69.18 / $123.03	Professional	TC	$56.23	$69.18	$123.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $288.40 / $630.96	Professional		$173.78	$288.40	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $83.18 / $309.03	Professional		$52.48	$83.18	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $42.66 / $60.26	Professional	26	$41.69	$42.66	$60.26
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $70.79 / $100.00	Professional	TC	$69.18	$70.79	$100.00
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $123.03 / $194.98	Professional		$70.79	$123.03	$194.98
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $45.71 / $81.28	Professional	26	$25.70	$45.71	$81.28
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $77.62 / $125.89	Professional	TC	$44.67	$77.62	$125.89

Pennsylvania rates for HCPCS 88361