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 $467.74 / $549.54 / $1,000.00	Professional	$467.74	$549.54	$1,000.00
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,801.89 / $4,466.84 / $57,543.99	Facility	$3,801.89	$4,466.84	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $724.44 / $776.25	Professional	$512.86	$724.44	$776.25
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $1,862.09 / $3,890.45	Facility	$524.81	$1,862.09	$3,890.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $602.56 / $1,000.00	Professional	$380.19	$602.56	$1,000.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	$1,000.00	$1,000.00	$1,000.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $630.96 / $933.25	Professional	$467.74	$630.96	$933.25
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,621.81 / $2,511.89 / $2,630.27	Facility	$1,621.81	$2,511.89	$2,630.27
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $537.03 / $812.83	Professional	$446.68	$537.03	$812.83
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 $467.74 / $562.34 / $1,584.89	Professional	$467.74	$562.34	$1,584.89
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $602.56 / $602.56	Facility	$602.56	$602.56	$602.56
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $851.14 / $1,174.90	Professional	$602.56	$851.14	$1,174.90
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $478.63 / $501.19 / $707.95	Facility	$478.63	$501.19	$707.95
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $512.86 / $707.95	Professional	$407.38	$512.86	$707.95
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,630.27 / $10,715.19	Facility	$588.84	$2,630.27	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $562.34 / $954.99	Professional	$416.87	$562.34	$954.99

Pennsylvania rates for HCPCS 42972