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 $56.23 / $95.50 / $95.50	Facility	26	$56.23	$95.50	$95.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $162.18 / $645.65	Professional		$97.72	$162.18	$645.65
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $20.89 / $154.88	Professional	26	$15.14	$20.89	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $144.54 / $489.78	Professional	TC	$77.62	$144.54	$489.78
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $194.98 / $331.13	Professional		$186.21	$194.98	$331.13
Capital Blue Cross Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.99 / $41.69	Professional	26	$22.91	$23.99	$41.69
Capital Blue Cross Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $169.82 / $288.40	Professional	TC	$162.18	$169.82	$288.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $125.89 / $295.12	Professional		$79.43	$125.89	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $27.54 / $63.10	Professional	26	$11.22	$27.54	$63.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $93.33 / $245.47	Professional	TC	$60.26	$93.33	$245.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $194.98 / $295.12	Professional		$144.54	$194.98	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $21.38 / $32.36	Professional	26	$16.22	$21.38	$32.36
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $173.78 / $263.03	Professional	TC	$125.89	$173.78	$263.03
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $199.53 / $275.42	Professional		$173.78	$199.53	$275.42
Geisinger Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $27.54 / $81.28	Professional	26	$21.88	$27.54	$81.28
Geisinger Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $173.78 / $213.80	Professional	TC	$141.25	$173.78	$213.80
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $51.29 / $104.71	Professional	26	$36.31	$51.29	$104.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $177.83 / $416.87	Professional		$85.11	$177.83	$416.87
Martin's Point Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $20.89 / $47.86	Professional	26	$15.49	$20.89	$47.86
Martin's Point Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $154.88 / $323.59	Professional	TC	$66.07	$154.88	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $288.40 / $467.74	Professional		$144.54	$288.40	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $162.18 / $309.03	Professional		$42.66	$162.18	$309.03
UPMC Health Plan Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $23.44 / $60.26	Professional	26	$22.91	$23.44	$60.26
UPMC Health Plan Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $165.96 / $186.21	Professional	TC	$134.90	$165.96	$186.21
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $173.78 / $281.84	Professional		$97.72	$173.78	$281.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $25.70 / $48.98	Professional	26	$14.13	$25.70	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $147.91 / $263.03	Professional	TC	$81.28	$147.91	$263.03

Pennsylvania rates for HCPCS 88381