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 $38.90 / $107.15 / $177.83	Facility	26	$38.90	$107.15	$177.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $707.95	Professional		$123.03	$173.78	$707.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $63.10 / $288.40	Professional	26	$33.11	$63.10	$288.40
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $120.23 / $407.38	Professional	TC	$85.11	$120.23	$407.38
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $77.62 / $79.43	Professional	26	$39.81	$77.62	$79.43
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $173.78 / $316.23	Professional		$169.82	$173.78	$316.23
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $43.65 / $83.18	Professional	26	$41.69	$43.65	$83.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $131.83 / $234.42	Professional	TC	$125.89	$131.83	$234.42
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $93.33 / $234.42	Professional		$67.61	$93.33	$234.42
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $31.62 / $74.13	Professional	26	$20.42	$31.62	$74.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $64.57 / $177.83	Professional	TC	$32.36	$64.57	$177.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $263.03	Professional		$128.82	$173.78	$263.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $39.81 / $60.26	Professional	26	$30.20	$39.81	$60.26
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $134.90 / $204.17	Professional	TC	$97.72	$134.90	$204.17
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $190.55 / $331.13	Professional		$112.20	$190.55	$331.13
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $63.10 / $112.20	Professional	26	$45.71	$63.10	$112.20
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $134.90 / $208.93	Professional	TC	$58.88	$134.90	$208.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $46.77 / $60.26	Professional	26	$42.66	$46.77	$60.26
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $54.95 / $54.95	Professional	TC	$53.70	$54.95	$54.95
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Independence Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $43.65 / $56.23	Professional	26	$38.02	$43.65	$56.23
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $60.26 / $120.23	Facility	26	$36.31	$60.26	$120.23
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $177.83 / $354.81	Professional		$128.82	$177.83	$354.81
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $47.86 / $107.15	Professional	26	$32.36	$47.86	$107.15
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $128.82 / $275.42	Professional	TC	$91.20	$128.82	$275.42
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $323.59 / $588.84	Professional		$257.04	$323.59	$588.84
UPMC Health Plan Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $58.88	Facility	26	$41.69	$41.69	$58.88
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $104.71 / $204.17	Professional		$11.75	$104.71	$204.17
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $41.69 / $42.66	Professional	26	$41.69	$41.69	$42.66
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $131.83 / $144.54	Professional	TC	$128.82	$131.83	$144.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $173.78 / $263.03	Professional		$83.18	$173.78	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $44.67 / $79.43	Professional	26	$25.70	$44.67	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $117.49 / $194.98	Professional	TC	$66.07	$117.49	$194.98

Pennsylvania rates for HCPCS 88365