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 $229.09 / $3,235.94 / $8,317.64	Facility	$229.09	$3,235.94	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $208.93 / $389.05	Professional	$128.82	$208.93	$389.05
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Professional	$208.93	$208.93	$208.93
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $346.74	Professional	$186.21	$186.21	$346.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $213.80 / $389.05 / $758.58	Facility	$213.80	$389.05	$758.58
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $213.80 / $380.19	Professional	$134.90	$213.80	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	$275.42	$275.42	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $457.09	Professional	$234.42	$316.23	$457.09
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $269.15 / $269.15	Facility	$177.83	$269.15	$269.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $223.87 / $363.08	Professional	$144.54	$223.87	$363.08
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $6,606.93 / $16,982.44	Facility	$2,570.40	$6,606.93	$16,982.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Professional	$239.88	$239.88	$239.88
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $2,187.76 / $7,244.36	Facility	$208.93	$2,187.76	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $512.86	Professional	$134.90	$223.87	$512.86
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	$190.55	$190.55	$190.55
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $407.38 / $524.81	Professional	$190.55	$407.38	$524.81
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $416.87	Facility	$131.83	$162.18	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $416.87	Professional	$131.83	$213.80	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,630.27 / $10,715.19	Facility	$588.84	$2,630.27	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $338.84	Professional	$120.23	$194.98	$338.84

Pennsylvania rates for HCPCS 42104