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 $831.76 / $4,786.30 / $8,317.64	Facility	$831.76	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $512.86 / $912.01	Professional	$331.13	$512.86	$912.01
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 $489.78 / $537.03 / $537.03	Professional	$489.78	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,995.26 / $3,890.45	Facility	$524.81	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $478.63 / $851.14	Professional	$323.59	$478.63	$851.14
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $741.31 / $741.31 / $741.31	Facility	$741.31	$741.31	$741.31
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $812.83 / $1,174.90	Professional	$602.56	$812.83	$1,174.90
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $2,344.23 / $2,570.40	Facility	$1,621.81	$2,344.23	$2,570.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $575.44 / $933.25	Professional	$354.81	$575.44	$933.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $7,943.28 / $7,943.28 / $7,943.28	Facility	$7,943.28	$7,943.28	$7,943.28
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $3,630.78 / $7,244.36	Facility	$776.25	$3,630.78	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $537.03 / $1,202.26	Professional	$338.84	$537.03	$1,202.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $426.58 / $426.58	Facility	$426.58	$426.58	$426.58
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $912.01 / $1,202.26	Professional	$426.58	$912.01	$1,202.26
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $467.74 / $524.81	Facility	$338.84	$467.74	$524.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $467.74 / $524.81	Professional	$338.84	$467.74	$524.81
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 $309.03 / $467.74 / $812.83	Professional	$309.03	$467.74	$812.83

Pennsylvania rates for HCPCS 42408