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 $181.97 / $2,691.53 / $8,317.64	Facility	$181.97	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $323.59	Professional	$125.89	$169.82	$323.59
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility	$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $436.52 / $794.33	Facility	$229.09	$436.52	$794.33
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $331.13	Professional	$128.82	$181.97	$331.13
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility	$288.40	$288.40	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $263.03 / $380.19	Professional	$194.98	$263.03	$380.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $501.19 / $524.81	Facility	$323.59	$501.19	$524.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $190.55 / $302.00	Professional	$134.90	$190.55	$302.00
Highmark BCBS 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
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $1,819.70 / $6,606.93	Facility	$478.63	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $549.54	Professional	$125.89	$173.78	$549.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Facility	$169.82	$169.82	$169.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $323.59 / $389.05	Professional	$169.82	$323.59	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $141.25 / $309.03	Facility	$123.03	$141.25	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $165.96 / $407.38	Professional	$85.11	$165.96	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $954.99 / $3,019.95	Facility	$91.20	$954.99	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $165.96 / $281.84	Professional	$117.49	$165.96	$281.84

Pennsylvania rates for HCPCS 42310