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 $501.19 / $2,691.53 / $8,317.64	Facility	$501.19	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $416.87	Professional	$112.20	$165.96	$416.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional	$112.20	$112.20	$112.20
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	$181.97	$181.97	$181.97
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 $154.88 / $162.18 / $162.18	Professional	$154.88	$162.18	$162.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $263.03 / $575.44	Facility	$144.54	$263.03	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $169.82 / $309.03	Professional	$114.82	$169.82	$309.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	$239.88	$239.88	$239.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $229.09 / $331.13	Professional	$169.82	$229.09	$331.13
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $154.88 / $181.97	Facility	$117.49	$154.88	$181.97
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $169.82 / $263.03	Professional	$123.03	$169.82	$263.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $6,165.95 / $7,413.10	Facility	$1,737.80	$6,165.95	$7,413.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Professional	$147.91	$147.91	$147.91
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	$181.97	$181.97	$181.97
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $1,819.70 / $6,606.93	Facility	$501.19	$1,819.70	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $177.83 / $398.11	Professional	$114.82	$177.83	$398.11
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	$186.21	$186.21	$186.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $295.12 / $389.05	Professional	$186.21	$295.12	$389.05
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $144.54 / $162.18	Facility	$74.13	$144.54	$162.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $144.54 / $416.87	Professional	$74.13	$144.54	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,698.24 / $5,128.61	Facility	$407.38	$1,698.24	$5,128.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $151.36 / $257.04	Professional	$100.00	$151.36	$257.04

Pennsylvania rates for HCPCS 42800