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 $891.25 / $5,370.32 / $8,511.38	Facility	$891.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $912.01 / $1,513.56	Professional	$794.33	$912.01	$1,513.56
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 $1,202.26 / $1,288.25 / $1,288.25	Professional	$1,202.26	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $2,089.30 / $8,128.31	Facility	$489.78	$2,089.30	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $1,047.13 / $1,778.28	Professional	$602.56	$1,047.13	$1,778.28
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $1,778.28 / $1,778.28	Facility	$1,778.28	$1,778.28	$1,778.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,122.02 / $1,621.81	Professional	$812.83	$1,122.02	$1,621.81
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,570.88 / $5,248.07	Facility	$3,311.31	$4,570.88	$5,248.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $954.99 / $1,479.11	Professional	$758.58	$954.99	$1,479.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $3,981.07 / $8,317.64	Facility	$831.76	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $891.25 / $1,584.89	Professional	$758.58	$891.25	$1,584.89
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	$794.33	$794.33	$794.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,479.11 / $1,949.84	Professional	$794.33	$1,479.11	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $851.14 / $1,148.15	Facility	$831.76	$851.14	$1,148.15
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $870.96 / $1,148.15	Professional	$812.83	$870.96	$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 $676.08 / $912.01 / $1,584.89	Professional	$676.08	$912.01	$1,584.89

Pennsylvania rates for HCPCS 42227