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 $588.84 / $3,890.45 / $8,128.31	Facility	$588.84	$3,890.45	$8,128.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $117.49 / $309.03	Professional	$95.50	$117.49	$309.03
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $10,000.00	Facility	$2,511.89	$3,467.37	$10,000.00
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 $85.11 / $123.03 / $177.83	Professional	$85.11	$123.03	$177.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $151.36 / $251.19	Professional	$95.50	$151.36	$251.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $141.25	Professional	$131.83	$131.83	$141.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $177.83	Professional	$91.20	$123.03	$177.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,187.76 / $4,265.80 / $6,918.31	Facility	$2,187.76	$4,265.80	$6,918.31
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $3,019.95 / $9,772.37	Facility	$2,089.30	$3,019.95	$9,772.37
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $2,398.83 / $8,317.64	Facility	$123.03	$2,398.83	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $323.59	Professional	$100.00	$117.49	$323.59
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $158.49 / $281.84	Professional	$123.03	$158.49	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $123.03 / $407.38	Facility	$74.13	$123.03	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $91.20 / $346.74	Professional	$38.02	$91.20	$346.74
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $2,691.53 / $6,025.60	Facility	$363.08	$2,691.53	$6,025.60
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $229.09	Professional	$89.13	$134.90	$229.09

Pennsylvania rates for HCPCS 42975