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 $588.84 / $3,715.35 / $8,317.64	Facility	$588.84	$3,715.35	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $309.03 / $660.69	Professional	$218.78	$309.03	$660.69
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 $323.59 / $346.74 / $346.74	Professional	$323.59	$346.74	$346.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $977.24 / $1,862.09	Facility	$389.05	$977.24	$1,862.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $323.59 / $524.81	Professional	$223.87	$323.59	$524.81
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $457.09 / $457.09	Facility	$457.09	$457.09	$457.09
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $436.52 / $630.96	Professional	$323.59	$436.52	$630.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $912.01 / $1,047.13	Facility	$724.44	$912.01	$1,047.13
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $323.59 / $512.86	Professional	$245.47	$323.59	$512.86
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,238.72 / $3,548.13 / $13,489.63	Facility	$2,238.72	$3,548.13	$13,489.63
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Professional	$331.13	$331.13	$331.13
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $575.44 / $2,454.71 / $8,317.64	Facility	$575.44	$2,454.71	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $323.59 / $758.58	Professional	$223.87	$323.59	$758.58
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Facility	$302.00	$302.00	$302.00
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $549.54 / $707.95	Professional	$302.00	$549.54	$707.95
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $245.47 / $416.87	Facility	$154.88	$245.47	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $295.12 / $416.87	Professional	$154.88	$295.12	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,570.40 / $5,248.07	Facility	$588.84	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $295.12 / $501.19	Professional	$199.53	$295.12	$501.19

Pennsylvania rates for HCPCS 42405