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 $524.81 / $5,128.61 / $10,715.19	Facility	$524.81	$5,128.61	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $346.74 / $851.14	Professional	$251.19	$346.74	$851.14
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Professional	$223.87	$223.87	$223.87
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $6,606.93 / $57,543.99	Facility	$6,456.54	$6,606.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Professional	$269.15	$269.15	$269.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $2,290.87 / $8,128.31	Facility	$457.09	$2,290.87	$8,128.31
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $316.23 / $537.03	Professional	$245.47	$316.23	$537.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility	$549.54	$549.54	$549.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $346.74 / $501.19	Professional	$257.04	$346.74	$501.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,019.95 / $4,265.80 / $5,370.32	Facility	$3,019.95	$4,265.80	$5,370.32
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $281.84 / $426.58	Professional	$239.88	$281.84	$426.58
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $10,000.00 / $26,302.68	Facility	$1,659.59	$10,000.00	$26,302.68
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $3,801.89 / $8,709.64	Facility	$363.08	$3,801.89	$8,709.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $331.13 / $812.83	Professional	$251.19	$331.13	$812.83
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility	$331.13	$331.13	$331.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $467.74 / $602.56	Professional	$331.13	$467.74	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $346.74 / $933.25	Facility	$263.03	$346.74	$933.25
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $346.74 / $933.25	Professional	$263.03	$346.74	$933.25
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 $218.78 / $288.40 / $489.78	Professional	$218.78	$288.40	$489.78

Pennsylvania rates for HCPCS 42825