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 $831.76 / $1,000.00 / $1,778.28	Professional	$831.76	$1,000.00	$1,778.28
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 $1,288.25 / $1,380.38 / $1,380.38	Professional	$1,288.25	$1,380.38	$1,380.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $4,168.69 / $8,128.31	Facility	$741.31	$4,168.69	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,071.52 / $1,819.70	Professional	$645.65	$1,071.52	$1,819.70
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 / $1,202.26 / $1,737.80	Professional	$891.25	$1,202.26	$1,737.80
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,365.16 / $5,248.07	Facility	$3,311.31	$4,365.16	$5,248.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $977.24 / $1,513.56	Professional	$794.33	$977.24	$1,513.56
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 $794.33 / $954.99 / $2,041.74	Professional	$794.33	$954.99	$2,041.74
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Facility	$912.01	$912.01	$912.01
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,584.89 / $2,089.30	Professional	$912.01	$1,584.89	$2,089.30
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $891.25 / $1,148.15	Facility	$616.60	$891.25	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $933.25 / $1,148.15	Professional	$870.96	$933.25	$1,148.15
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 $724.44 / $977.24 / $1,659.59	Professional	$724.44	$977.24	$1,659.59

Pennsylvania rates for HCPCS 42226