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 $1,047.13 / $4,786.30 / $8,317.64	Facility	$1,047.13	$4,786.30	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $208.93 / $380.19	Professional	$173.78	$208.93	$380.19
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 $275.42 / $295.12 / $331.13	Professional	$275.42	$295.12	$331.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $1,995.26 / $3,890.45	Facility	$331.13	$1,995.26	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $398.11	Professional	$177.83	$234.42	$398.11
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	$407.38	$407.38	$407.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $257.04 / $371.54	Professional	$190.55	$257.04	$371.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $2,089.30 / $2,344.23	Facility	$1,621.81	$2,089.30	$2,344.23
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $204.17 / $316.23	Professional	$173.78	$204.17	$316.23
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $3,630.78 / $8,317.64	Facility	$831.76	$3,630.78	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $1,023.29	Professional	$173.78	$213.80	$1,023.29
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	$245.47	$245.47	$245.47
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $338.84 / $446.68	Professional	$245.47	$338.84	$446.68
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $194.98 / $478.63	Facility	$190.55	$194.98	$478.63
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $309.03 / $478.63	Professional	$190.55	$309.03	$478.63
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 $154.88 / $208.93 / $354.81	Professional	$154.88	$208.93	$354.81

Pennsylvania rates for HCPCS 42860