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 $426.58 / $2,691.53 / $8,317.64	Facility	$426.58	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $75.86 / $144.54	Professional	$56.23	$75.86	$144.54
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Professional	$48.98	$48.98	$48.98
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility	$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $74.13 / $107.15	Professional	$67.61	$74.13	$107.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $114.82 / $588.84	Facility	$63.10	$114.82	$588.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $85.11 / $181.97	Professional	$56.23	$85.11	$181.97
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility	$120.23	$120.23	$120.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $109.65 / $158.49	Professional	$81.28	$109.65	$158.49
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $87.10	Facility	$53.70	$70.79	$87.10
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $83.18 / $128.82	Professional	$64.57	$83.18	$128.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,884.03 / $3,388.44 / $5,011.87	Facility	$2,884.03	$3,388.44	$5,011.87
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 $56.23 / $77.62 / $302.00	Professional	$56.23	$77.62	$302.00
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $81.28	Facility	$81.28	$81.28	$81.28
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $147.91 / $194.98	Professional	$81.28	$147.91	$194.98
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $50.12 / $69.18	Facility	$39.81	$50.12	$69.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $56.23 / $75.86	Professional	$44.67	$56.23	$75.86
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 $50.12 / $75.86 / $128.82	Professional	$50.12	$75.86	$128.82

Pennsylvania rates for HCPCS 42650