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 $1,023.29 / $5,370.32 / $8,511.38	Facility	$1,023.29	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $851.14 / $1,445.44	Professional	$645.65	$851.14	$1,445.44
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $851.14 / $851.14	Professional	$851.14	$851.14	$851.14
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $2,290.87 / $8,128.31	Facility	$645.65	$2,290.87	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $891.25 / $1,513.56	Professional	$616.60	$891.25	$1,513.56
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,318.26 / $1,318.26 / $1,318.26	Facility	$1,318.26	$1,318.26	$1,318.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $912.01 / $1,230.27 / $1,778.28	Professional	$912.01	$1,230.27	$1,778.28
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 $691.83 / $912.01 / $1,479.11	Professional	$691.83	$912.01	$1,479.11
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $4,168.69 / $8,317.64	Facility	$912.01	$4,168.69	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $851.14 / $1,445.44	Professional	$630.96	$851.14	$1,445.44
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 / $1,513.56 / $1,949.84	Professional	$794.33	$1,513.56	$1,949.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $616.60 / $851.14	Facility	$575.44	$616.60	$851.14
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $660.69 / $891.25	Professional	$575.44	$660.69	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $19,054.61	Facility	$933.25	$3,311.31	$19,054.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $831.76 / $1,412.54	Professional	$575.44	$831.76	$1,412.54

Pennsylvania rates for HCPCS 42260