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 $1,288.25 / $5,370.32 / $8,511.38	Facility	$1,288.25	$5,370.32	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $269.15 / $616.60	Professional	$223.87	$269.15	$616.60
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $380.19 / $436.52	Professional	$346.74	$380.19	$436.52
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $2,089.30 / $3,890.45	Facility	$416.87	$2,089.30	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $302.00 / $489.78	Professional	$229.09	$302.00	$489.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $501.19 / $501.19	Facility	$501.19	$501.19	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $467.74	Professional	$234.42	$316.23	$467.74
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $2,137.96 / $2,570.40	Facility	$1,621.81	$2,137.96	$2,570.40
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $263.03 / $398.11	Professional	$218.78	$263.03	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $10,964.78 / $15,135.61	Facility	$2,570.40	$10,964.78	$15,135.61
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $4,265.80 / $8,511.38	Facility	$977.24	$4,265.80	$8,511.38
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $288.40 / $870.96	Professional	$223.87	$288.40	$870.96
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Facility	$323.59	$323.59	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $426.58 / $562.34	Professional	$323.59	$426.58	$562.34
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $588.84	Facility	$239.88	$323.59	$588.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $309.03 / $588.84	Professional	$239.88	$309.03	$588.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $10,715.19	Facility	$933.25	$3,311.31	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $269.15 / $457.09	Professional	$199.53	$269.15	$457.09

Pennsylvania rates for HCPCS 42836