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 / $144.54 / $169.82	Facility	26	$36.31	$144.54	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $251.19 / $331.13	Professional		$162.18	$251.19	$331.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $426.58	Professional	26	$28.18	$38.90	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $213.80 / $288.40	Professional	TC	$128.82	$213.80	$288.40
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $354.81 / $537.03	Professional		$263.03	$354.81	$537.03
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $56.23 / $83.18	Professional	26	$40.74	$56.23	$83.18
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $218.78 / $275.42 / $467.74	Professional	TC	$218.78	$275.42	$467.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $177.83 / $380.19	Professional		$97.72	$177.83	$380.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $28.84 / $61.66	Professional	26	$19.50	$28.84	$61.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $141.25 / $295.12	Professional	TC	$74.13	$141.25	$295.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $275.42 / $416.87	Professional		$204.17	$275.42	$416.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $38.02 / $57.54	Professional	26	$29.51	$38.02	$57.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $173.78 / $234.42 / $354.81	Professional	TC	$173.78	$234.42	$354.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $281.84 / $436.52	Professional		$190.55	$281.84	$436.52
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $50.12 / $83.18	Professional	26	$41.69	$50.12	$83.18
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $229.09 / $363.08	Professional	TC	$147.91	$229.09	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $43.65 / $72.44	Professional	26	$41.69	$43.65	$72.44
Martin's Point Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $36.31 / $58.88 / $61.66	Facility	26	$36.31	$58.88	$61.66
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $257.04 / $512.86	Professional		$181.97	$257.04	$512.86
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.02 / $79.43	Professional	26	$26.92	$38.02	$79.43
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $218.78 / $446.68	Professional	TC	$151.36	$218.78	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $831.76	Professional		$354.81	$478.63	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $181.97 / $309.03	Professional		$104.71	$181.97	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $41.69 / $48.98	Professional	26	$40.74	$41.69	$48.98
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $239.88 / $251.19	Professional	TC	$162.18	$239.88	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $295.12 / $467.74	Professional		$162.18	$295.12	$467.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $44.67 / $74.13	Professional	26	$25.12	$44.67	$74.13
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $128.82 / $257.04 / $407.38	Professional	TC	$128.82	$257.04	$407.38

Pennsylvania rates for HCPCS 88374