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 / $3,981.07 / $8,317.64	Facility	$1,047.13	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $812.83 / $1,412.54	Professional	$691.83	$812.83	$1,412.54
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 $1,071.52 / $1,148.15 / $1,148.15	Professional	$1,071.52	$1,148.15	$1,148.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $1,047.13 / $1,862.09	Facility	$489.78	$1,047.13	$1,862.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $870.96 / $1,479.11	Professional	$537.03	$870.96	$1,479.11
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $1,584.89	Facility	$1,584.89	$1,584.89	$1,584.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,000.00 / $1,445.44	Professional	$741.31	$1,000.00	$1,445.44
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $724.44 / $954.99 / $1,122.02	Facility	$724.44	$954.99	$1,122.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $660.69 / $794.33 / $1,230.27	Professional	$660.69	$794.33	$1,230.27
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $2,570.40 / $8,317.64	Facility	$831.76	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $812.83 / $1,548.82	Professional	$676.08	$812.83	$1,548.82
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	$645.65	$645.65	$645.65
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,318.26 / $1,778.28	Professional	$645.65	$1,318.26	$1,778.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $741.31	Facility	$416.87	$416.87	$741.31
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $467.74 / $794.33	Professional	$416.87	$467.74	$794.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $2,570.40 / $5,248.07	Facility	$602.56	$2,570.40	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $831.76 / $1,445.44	Professional	$575.44	$831.76	$1,445.44

Pennsylvania rates for HCPCS 42955