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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $1,047.13 / $5,370.32	Facility	$288.40	$1,047.13	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $281.84 / $691.83	Professional	$165.96	$281.84	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	$323.59	$323.59	$323.59
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $9,549.93 / $15,135.61	Facility	$3,890.45	$9,549.93	$15,135.61
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $154.88	Professional	$144.54	$144.54	$154.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $478.63 / $524.81	Professional	$467.74	$478.63	$524.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $288.40 / $478.63	Professional	$173.78	$288.40	$478.63
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $467.74 / $512.86	Professional	$309.03	$467.74	$512.86
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $338.84 / $501.19	Professional	$218.78	$338.84	$501.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $891.25 / $1,737.80	Facility	$524.81	$891.25	$1,737.80
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $302.00 / $354.81	Professional	$257.04	$302.00	$354.81
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $7,079.46 / $13,182.57	Facility	$549.54	$7,079.46	$13,182.57
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $154.88	Professional	$144.54	$144.54	$154.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $977.24 / $5,623.41	Facility	$269.15	$977.24	$5,623.41
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $281.84 / $524.81	Professional	$173.78	$281.84	$524.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $489.78 / $1,148.15	Professional	$257.04	$489.78	$1,148.15
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $190.55 / $1,548.82	Facility	$114.82	$190.55	$1,548.82
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $190.55 / $1,548.82	Professional	$114.82	$190.55	$1,548.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $977.24 / $3,890.45	Facility	$363.08	$977.24	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $263.03 / $457.09	Professional	$165.96	$263.03	$457.09

Pennsylvania rates for HCPCS 12042