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 $1,412.54 / $6,165.95 / $10,715.19	Facility	$1,412.54	$6,165.95	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,000.00 / $1,148.15 / $2,754.23	Professional	$1,000.00	$1,148.15	$2,754.23
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 $1,513.56 / $1,659.59 / $1,819.70	Professional	$1,513.56	$1,659.59	$1,819.70
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 $758.58 / $1,258.93 / $2,187.76	Professional	$758.58	$1,258.93	$2,187.76
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $2,187.76 / $2,187.76	Facility	$2,187.76	$2,187.76	$2,187.76
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,412.54 / $1,995.26	Professional	$1,047.13	$1,412.54	$1,995.26
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 $954.99 / $1,122.02 / $1,737.80	Professional	$954.99	$1,122.02	$1,737.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,748.98 / $19,054.61 / $46,773.51	Facility	$11,748.98	$19,054.61	$46,773.51
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $4,570.88 / $8,511.38	Facility	$1,047.13	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,148.15 / $3,019.95	Professional	$977.24	$1,148.15	$3,019.95
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Facility	$1,148.15	$1,148.15	$1,148.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,148.15 / $1,862.09 / $2,344.23	Professional	$1,148.15	$1,862.09	$2,344.23
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $1,047.13	Facility	$691.83	$691.83	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $1,071.52	Professional	$691.83	$691.83	$1,071.52
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 $891.25 / $1,202.26 / $2,089.30	Professional	$891.25	$1,202.26	$2,089.30

Pennsylvania rates for HCPCS 42210