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 $831.76 / $2,691.53 / $8,317.64	Facility	$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $436.52 / $812.83	Professional	$380.19	$436.52	$812.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $1,258.93 / $57,543.99	Facility	$1,174.90	$1,258.93	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $512.86 / $645.65	Professional	$346.74	$512.86	$645.65
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $239.88 / $691.83	Facility	$100.00	$239.88	$691.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $467.74 / $812.83	Professional	$331.13	$467.74	$812.83
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Facility	$831.76	$831.76	$831.76
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $389.05 / $524.81 / $758.58	Professional	$389.05	$524.81	$758.58
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $194.98 / $223.87	Facility	$144.54	$194.98	$223.87
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $416.87 / $645.65	Professional	$363.08	$416.87	$645.65
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,311.31 / $3,311.31 / $3,311.31	Facility	$3,311.31	$3,311.31	$3,311.31
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,995.26 / $7,244.36	Facility	$588.84	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $436.52 / $1,202.26	Professional	$371.54	$436.52	$1,202.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	$407.38	$407.38	$407.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $691.83 / $933.25	Professional	$407.38	$691.83	$933.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $407.38	Facility	$95.50	$95.50	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $363.08 / $426.58	Professional	$95.50	$363.08	$426.58
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $575.44 / $3,019.95	Facility	$91.20	$575.44	$3,019.95
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $446.68 / $776.25	Professional	$331.13	$446.68	$776.25

Pennsylvania rates for HCPCS 42970