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 $1,288.25 / $6,025.60 / $9,549.93	Facility	$1,288.25	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $831.76 / $1,412.54	Professional	$724.44	$831.76	$1,412.54
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $851.14 / $1,479.11	Professional	$812.83	$851.14	$1,479.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $954.99 / $1,621.81	Professional	$676.08	$954.99	$1,621.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $1,174.90 / $1,513.56	Professional	$870.96	$1,174.90	$1,513.56
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $977.24 / $1,348.96	Professional	$741.31	$977.24	$1,348.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $61,659.50 / $61,659.50 / $61,659.50	Facility	$61,659.50	$61,659.50	$61,659.50
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,096.48 / $1,096.48 / $1,096.48	Professional	$1,096.48	$1,096.48	$1,096.48
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $4,786.30 / $8,709.64	Facility	$1,023.29	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $831.76 / $1,584.89	Professional	$724.44	$831.76	$1,584.89
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,023.29 / $1,202.26 / $1,659.59	Professional	$1,023.29	$1,202.26	$1,659.59
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $831.76	Facility	$691.83	$691.83	$831.76
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $831.76	Professional	$691.83	$691.83	$831.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $10,964.78 / $56,234.13	Facility	$3,630.78	$10,964.78	$56,234.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $912.01 / $1,621.81	Professional	$660.69	$912.01	$1,621.81

Pennsylvania rates for HCPCS 25442