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 / $6,606.93 / $11,220.18	Facility	$1,412.54	$6,606.93	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $1,380.38	Professional	$645.65	$758.58	$1,380.38
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 $1,000.00 / $1,071.52 / $1,071.52	Professional	$1,000.00	$1,071.52	$1,071.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $3,235.94 / $8,128.31	Facility	$954.99	$3,235.94	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $501.19 / $831.76 / $1,412.54	Professional	$501.19	$831.76	$1,412.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $1,479.11 / $1,479.11	Facility	$1,479.11	$1,479.11	$1,479.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $933.25 / $1,348.96	Professional	$691.83	$933.25	$1,348.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,265.80 / $5,370.32	Facility	$3,311.31	$4,265.80	$5,370.32
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $758.58 / $1,174.90	Professional	$645.65	$758.58	$1,174.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $5,248.07 / $9,549.93	Facility	$1,047.13	$5,248.07	$9,549.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $776.25 / $2,041.74	Professional	$645.65	$776.25	$2,041.74
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Facility	$812.83	$812.83	$812.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,230.27 / $1,698.24	Professional	$812.83	$1,230.27	$1,698.24
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 / $724.44 / $933.25	Professional	$691.83	$724.44	$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 $588.84 / $794.33 / $1,348.96	Professional	$588.84	$794.33	$1,348.96

Pennsylvania rates for HCPCS 42215