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 $245.47 / $2,691.53 / $8,317.64	Facility	$245.47	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $151.36 / $316.23	Professional	$107.15	$151.36	$316.23
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility	$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $154.88	Professional	$141.25	$141.25	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $239.88 / $588.84	Facility	$131.83	$239.88	$588.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $288.40	Professional	$109.65	$162.18	$288.40
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	$229.09	$229.09	$229.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $213.80 / $309.03	Professional	$158.49	$213.80	$309.03
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $169.82	Facility	$109.65	$141.25	$169.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $154.88 / $251.19	Professional	$117.49	$154.88	$251.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $5,248.07 / $7,079.46	Facility	$1,479.11	$5,248.07	$7,079.46
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $1,819.70 / $6,606.93	Facility	$288.40	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $389.05	Professional	$107.15	$154.88	$389.05
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Facility	$162.18	$162.18	$162.18
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $281.84 / $363.08	Professional	$162.18	$281.84	$363.08
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $141.25	Facility	$70.79	$107.15	$141.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $309.03	Professional	$70.79	$107.15	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,570.40 / $5,248.07	Facility	$588.84	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $239.88	Professional	$95.50	$144.54	$239.88

Pennsylvania rates for HCPCS 42100