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 $954.99 / $3,890.45 / $8,317.64	Facility	$954.99	$3,890.45	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $457.09 / $794.33	Professional	$323.59	$457.09	$794.33
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $616.60 / $741.31	Professional	$467.74	$616.60	$741.31
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $4,168.69 / $8,128.31	Facility	$489.78	$4,168.69	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $467.74 / $812.83	Professional	$316.23	$467.74	$812.83
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	$691.83	$691.83	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $676.08 / $977.24	Professional	$501.19	$676.08	$977.24
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $5,128.61 / $5,248.07	Facility	$3,311.31	$5,128.61	$5,248.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $489.78 / $776.25	Professional	$346.74	$489.78	$776.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $2,570.40 / $8,317.64	Facility	$724.44	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $457.09 / $977.24	Professional	$323.59	$457.09	$977.24
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility	$426.58	$426.58	$426.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $851.14 / $1,096.48	Professional	$426.58	$851.14	$1,096.48
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $436.52	Facility	$323.59	$407.38	$436.52
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $407.38 / $446.68	Professional	$323.59	$407.38	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $19,054.61	Facility	$933.25	$3,311.31	$19,054.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $446.68 / $758.58	Professional	$302.00	$446.68	$758.58

Pennsylvania rates for HCPCS 42107