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 $660.69 / $4,073.80 / $8,317.64	Facility	$660.69	$4,073.80	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $398.11 / $776.25	Professional	$251.19	$398.11	$776.25
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 $269.15 / $371.54 / $398.11	Professional	$269.15	$371.54	$398.11
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $537.03 / $870.96	Facility	$416.87	$537.03	$870.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $389.05 / $676.08	Professional	$257.04	$389.05	$676.08
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $537.03 / $537.03	Facility	$537.03	$537.03	$537.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $457.09 / $616.60 / $891.25	Professional	$457.09	$616.60	$891.25
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $436.52 / $524.81	Facility	$338.84	$436.52	$524.81
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $426.58 / $691.83	Professional	$269.15	$426.58	$691.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $6,918.31 / $8,709.64	Facility	$6,918.31	$6,918.31	$8,709.64
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $660.69 / $3,630.78 / $7,244.36	Facility	$660.69	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $436.52 / $1,000.00	Professional	$257.04	$436.52	$1,000.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Facility	$323.59	$323.59	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $758.58 / $912.01	Professional	$323.59	$758.58	$912.01
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $416.87 / $467.74	Facility	$257.04	$416.87	$467.74
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $416.87 / $467.74	Professional	$257.04	$416.87	$467.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $10,715.19	Facility	$933.25	$3,311.31	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $363.08 / $630.96	Professional	$229.09	$363.08	$630.96

Pennsylvania rates for HCPCS 42335