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 / $3,890.45 / $8,511.38	Facility	$1,023.29	$3,890.45	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $489.78 / $851.14	Professional	$331.13	$489.78	$851.14
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 $457.09 / $537.03 / $870.96	Professional	$457.09	$537.03	$870.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,995.26 / $3,890.45	Facility	$489.78	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $489.78 / $851.14	Professional	$323.59	$489.78	$851.14
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	$691.83	$691.83	$691.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $562.34 / $758.58 / $1,096.48	Professional	$562.34	$758.58	$1,096.48
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $2,344.23 / $2,630.27	Facility	$1,659.59	$2,344.23	$2,630.27
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $549.54 / $870.96	Professional	$363.08	$549.54	$870.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,918.31 / $8,709.64 / $10,964.78	Facility	$6,918.31	$8,709.64	$10,964.78
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,570.40 / $8,317.64	Facility	$831.76	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $501.19 / $1,023.29	Professional	$323.59	$501.19	$1,023.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility	$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $933.25 / $1,122.02	Professional	$446.68	$933.25	$1,122.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $380.19 / $524.81	Facility	$338.84	$380.19	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $416.87 / $524.81	Professional	$338.84	$416.87	$524.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,630.27 / $10,715.19	Facility	$588.84	$2,630.27	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $457.09 / $794.33	Professional	$302.00	$457.09	$794.33

Pennsylvania rates for HCPCS 42340