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 $1,148.15 / $6,025.60 / $10,471.29	Facility	$1,148.15	$6,025.60	$10,471.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $602.56 / $1,412.54	Professional	$524.81	$602.56	$1,412.54
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 / $891.25 / $891.25	Professional	$812.83	$891.25	$891.25
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 $446.68 / $645.65 / $1,174.90	Professional	$446.68	$645.65	$1,174.90
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,230.27 / $1,230.27 / $1,230.27	Facility	$1,230.27	$1,230.27	$1,230.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $776.25 / $1,122.02	Professional	$575.44	$776.25	$1,122.02
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,365.16 / $5,128.61	Facility	$3,311.31	$4,365.16	$5,128.61
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $616.60 / $933.25	Professional	$524.81	$616.60	$933.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11,748.98 / $11,748.98 / $51,286.14	Facility	$11,748.98	$11,748.98	$51,286.14
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,023.29 / $4,570.88 / $8,511.38	Facility	$1,023.29	$4,570.88	$8,511.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $660.69 / $1,659.59	Professional	$512.86	$660.69	$1,659.59
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Facility	$616.60	$616.60	$616.60
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $954.99 / $1,202.26	Professional	$616.60	$954.99	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $588.84 / $691.83	Facility	$512.86	$588.84	$691.83
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $588.84 / $691.83	Professional	$512.86	$588.84	$691.83
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 $478.63 / $630.96 / $1,096.48	Professional	$478.63	$630.96	$1,096.48

Pennsylvania rates for HCPCS 42220