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 $100.00 / $165.96 / $165.96	Facility	26	$100.00	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $117.49 / $512.86	Professional		$79.43	$117.49	$512.86
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $38.90 / $234.42	Professional	26	$30.20	$38.90	$234.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $83.18 / $302.00	Professional	TC	$53.70	$83.18	$302.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Professional	26	$77.62	$77.62	$77.62
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $154.88 / $309.03	Professional		$144.54	$154.88	$309.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $53.70 / $173.78	Professional	26	$41.69	$53.70	$173.78
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $107.15 / $177.83	Professional	TC	$102.33	$107.15	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $123.03 / $213.80	Professional		$67.61	$123.03	$213.80
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $38.02 / $87.10	Professional	26	$20.42	$38.02	$87.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $77.62 / $144.54	Professional	TC	$42.66	$77.62	$144.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $147.91 / $223.87	Professional		$112.20	$147.91	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $38.90 / $58.88	Professional	26	$29.51	$38.90	$58.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $109.65 / $165.96	Professional	TC	$81.28	$109.65	$165.96
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $302.00	Professional		$138.04	$186.21	$302.00
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $67.61 / $117.49	Professional	26	$44.67	$67.61	$117.49
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $125.89 / $208.93	Professional	TC	$69.18	$125.89	$208.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $42.66 / $43.65	Professional	26	$42.66	$42.66	$43.65
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $125.89 / $436.52	Professional		$72.44	$125.89	$436.52
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $36.31 / $144.54	Professional	26	$25.12	$36.31	$144.54
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $87.10 / $208.93	Professional	TC	$45.71	$87.10	$208.93
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $457.09	Professional		$190.55	$281.84	$457.09
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $97.72 / $199.53	Professional		$48.98	$97.72	$199.53
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $112.20	Professional	26	$39.81	$39.81	$112.20
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $93.33 / $97.72	Professional	TC	$87.10	$93.33	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $128.82 / $229.09	Professional		$75.86	$128.82	$229.09
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $42.66 / $77.62	Professional	26	$24.55	$42.66	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $85.11 / $158.49	Professional	TC	$51.29	$85.11	$158.49

Pennsylvania rates for HCPCS 88368