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 $1,380.38 / $6,025.60 / $9,549.93	Facility	$1,380.38	$6,025.60	$9,549.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $794.33 / $1,445.44	Professional	$676.08	$794.33	$1,445.44
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,122.02 / $1,122.02	Professional	$1,047.13	$1,122.02	$1,122.02
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 $537.03 / $870.96 / $1,445.44	Professional	$537.03	$870.96	$1,445.44
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Facility	$1,584.89	$1,584.89	$1,584.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $724.44 / $1,000.00 / $1,445.44	Professional	$724.44	$1,000.00	$1,445.44
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $4,265.80 / $5,248.07	Facility	$3,311.31	$4,265.80	$5,248.07
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $812.83 / $1,258.93	Professional	$660.69	$812.83	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Facility	$1,995.26	$1,995.26	$1,995.26
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 $676.08 / $794.33 / $2,089.30	Professional	$676.08	$794.33	$2,089.30
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $660.69 / $660.69	Facility	$660.69	$660.69	$660.69
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $1,318.26 / $1,737.80	Professional	$660.69	$1,318.26	$1,737.80
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $691.83 / $724.44	Facility	$537.03	$691.83	$724.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $741.31	Professional	$691.83	$691.83	$741.31
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 $562.34 / $794.33 / $1,380.38	Professional	$562.34	$794.33	$1,380.38

Pennsylvania rates for HCPCS 42235