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 $1,122.02 / $6,456.54 / $20,892.96	Facility	$1,122.02	$6,456.54	$20,892.96
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $467.74 / $1,258.93	Professional	$281.84	$467.74	$1,258.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $275.42 / $295.12	Professional	$239.88	$275.42	$295.12
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,370.32 / $6,165.95 / $57,543.99	Facility	$5,370.32	$6,165.95	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $446.68 / $478.63	Professional	$416.87	$446.68	$478.63
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $1,862.09 / $8,128.31	Facility	$501.19	$1,862.09	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $354.81 / $575.44	Professional	$269.15	$354.81	$575.44
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $588.84 / $588.84	Facility	$588.84	$588.84	$588.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $371.54 / $537.03	Professional	$275.42	$371.54	$537.03
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,265.80 / $5,128.61	Facility	$3,019.95	$4,265.80	$5,128.61
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $309.03 / $467.74	Professional	$257.04	$309.03	$467.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $12,882.50 / $25,118.86	Facility	$4,677.35	$12,882.50	$25,118.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Professional	$302.00	$302.00	$302.00
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $4,168.69 / $24,547.09	Facility	$371.54	$4,168.69	$24,547.09
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $371.54 / $812.83	Professional	$281.84	$371.54	$812.83
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $6,606.93 / $12,022.64	Facility	$371.54	$6,606.93	$12,022.64
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $489.78 / $660.69	Professional	$371.54	$489.78	$660.69
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $912.01	Facility	$288.40	$288.40	$912.01
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $302.00 / $912.01	Professional	$288.40	$302.00	$912.01
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $19,054.61	Facility	$933.25	$3,311.31	$19,054.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $549.54	Professional	$239.88	$323.59	$549.54

Pennsylvania rates for HCPCS 42820