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 $229.09 / $1,445.44 / $6,606.93	Facility	$229.09	$1,445.44	$6,606.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $204.17 / $602.56	Professional	$131.83	$204.17	$602.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $128.82	Professional	$123.03	$123.03	$128.82
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,073.80 / $18,620.87 / $29,512.09	Facility	$4,073.80	$18,620.87	$29,512.09
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 $190.55 / $208.93 / $208.93	Professional	$190.55	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $323.59 / $645.65	Facility	$190.55	$323.59	$645.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $346.74	Professional	$138.04	$204.17	$346.74
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility	$288.40	$288.40	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $288.40 / $407.38	Professional	$213.80	$288.40	$407.38
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $223.87	Facility	$128.82	$181.97	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $204.17 / $331.13	Professional	$144.54	$204.17	$331.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $575.44 / $1,995.26	Facility	$363.08	$575.44	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $141.25 / $208.93	Professional	$131.83	$141.25	$208.93
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $13,182.57 / $25,703.96	Facility	$354.81	$13,182.57	$25,703.96
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $1,288.25 / $5,754.40	Facility	$208.93	$1,288.25	$5,754.40
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $213.80 / $446.68	Professional	$138.04	$213.80	$446.68
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	$204.17	$204.17	$204.17
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $354.81 / $457.09	Professional	$204.17	$354.81	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $186.21 / $489.78	Facility	$128.82	$186.21	$489.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $186.21 / $489.78	Professional	$64.57	$186.21	$489.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $575.44 / $3,019.95	Facility	$91.20	$575.44	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $181.97 / $309.03	Professional	$120.23	$181.97	$309.03

Pennsylvania rates for HCPCS 42700