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 $147.91 / $2,398.83 / $7,762.47	Facility	$147.91	$2,398.83	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $114.82 / $199.53	Professional	$83.18	$114.82	$199.53
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $2,570.40 / $57,543.99	Facility	$2,344.23	$2,570.40	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $97.72 / $102.33	Professional	$87.10	$97.72	$102.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $165.96	Facility	$77.62	$104.71	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $245.47	Professional	$81.28	$120.23	$245.47
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	$158.49	$158.49	$158.49
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $147.91 / $213.80	Professional	$109.65	$147.91	$213.80
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $104.71 / $107.15	Facility	$66.07	$104.71	$107.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $109.65 / $169.82	Professional	$85.11	$109.65	$169.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $3,311.31	Facility	$812.83	$812.83	$3,311.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Professional	$134.90	$134.90	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $1,584.89 / $6,165.95	Facility	$147.91	$1,584.89	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $120.23 / $371.54	Professional	$83.18	$120.23	$371.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Facility	$102.33	$102.33	$102.33
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $194.98 / $295.12	Professional	$102.33	$194.98	$295.12
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $83.18 / $186.21	Facility	$5.25	$83.18	$186.21
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $89.13 / $213.80	Professional	$61.66	$89.13	$213.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $954.99 / $3,019.95	Facility	$91.20	$954.99	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $190.55	Professional	$74.13	$112.20	$190.55

Pennsylvania rates for HCPCS 42660