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 $891.25 / $1,023.29 / $1,862.09	Professional	$891.25	$1,023.29	$1,862.09
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 $1,348.96 / $1,479.11 / $1,479.11	Professional	$1,348.96	$1,479.11	$1,479.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $2,089.30 / $3,890.45	Facility	$741.31	$2,089.30	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,096.48 / $1,949.84	Professional	$676.08	$1,096.48	$1,949.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $1,949.84	Facility	$1,949.84	$1,949.84	$1,949.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,258.93 / $1,778.28	Professional	$933.25	$1,258.93	$1,778.28
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $2,238.72 / $2,570.40	Facility	$1,778.28	$2,238.72	$2,570.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,000.00 / $1,548.82	Professional	$851.14	$1,000.00	$1,548.82
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 $831.76 / $1,023.29 / $1,905.46	Professional	$831.76	$1,023.29	$1,905.46
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $891.25 / $891.25	Facility	$891.25	$891.25	$891.25
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,621.81 / $2,041.74	Professional	$891.25	$1,621.81	$2,041.74
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $933.25	Facility	$691.83	$691.83	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $912.01 / $1,202.26	Professional	$691.83	$912.01	$1,202.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $4,786.30 / $10,715.19	Facility	$1,659.59	$4,786.30	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,071.52 / $1,819.70	Professional	$794.33	$1,071.52	$1,819.70

Pennsylvania rates for HCPCS 42205