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 $1,380.38 / $6,309.57 / $10,715.19	Facility	$1,380.38	$6,309.57	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,000.00 / $2,398.83	Professional	$831.76	$1,000.00	$2,398.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $9,549.93 / $10,000.00 / $57,543.99	Facility	$9,549.93	$10,000.00	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $1,412.54	Professional	$812.83	$812.83	$1,412.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $2,754.23 / $8,128.31	Facility	$741.31	$2,754.23	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,047.13 / $1,862.09	Professional	$645.65	$1,047.13	$1,862.09
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Facility	$1,905.46	$1,905.46	$1,905.46
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,230.27 / $1,737.80	Professional	$891.25	$1,230.27	$1,737.80
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,365.16 / $5,248.07	Facility	$3,019.95	$4,365.16	$5,248.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $977.24 / $1,479.11	Professional	$831.76	$977.24	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.50 / $19,952.62 / $45,708.82	Facility	$0.50	$19,952.62	$45,708.82
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $4,786.30 / $8,709.64	Facility	$1,047.13	$4,786.30	$8,709.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,023.29 / $2,570.40	Professional	$812.83	$1,023.29	$2,570.40
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $1,047.13 / $1,047.13	Facility	$1,047.13	$1,047.13	$1,047.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,548.82 / $1,949.84	Professional	$1,047.13	$1,548.82	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $812.83 / $912.01	Facility	$691.83	$812.83	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $870.96 / $933.25	Professional	$691.83	$870.96	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $4,897.79 / $19,054.61	Facility	$1,659.59	$4,897.79	$19,054.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $776.25 / $1,023.29 / $1,737.80	Professional	$776.25	$1,023.29	$1,737.80

Pennsylvania rates for HCPCS 42200