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 $676.08 / $6,165.95 / $11,220.18	Facility	$676.08	$6,165.95	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $676.08 / $1,230.27	Professional	$575.44	$676.08	$1,230.27
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $977.24 / $1,023.29	Professional	$870.96	$977.24	$1,023.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $1,071.52	Facility	$489.78	$794.33	$1,071.52
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $741.31 / $1,348.96	Professional	$478.63	$741.31	$1,348.96
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $1,258.93 / $1,258.93	Facility	$1,258.93	$1,258.93	$1,258.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $794.33 / $1,148.15	Professional	$588.84	$794.33	$1,148.15
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $660.69 / $1,023.29	Professional	$549.54	$660.69	$1,023.29
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $3,801.89 / $8,317.64	Facility	$676.08	$3,801.89	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $575.44 / $676.08 / $1,412.54	Professional	$575.44	$676.08	$1,412.54
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $812.83 / $812.83	Facility	$812.83	$812.83	$812.83
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,071.52 / $1,412.54	Professional	$812.83	$1,071.52	$1,412.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Facility	$630.96	$630.96	$630.96
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $630.96 / $660.69	Professional	$309.03	$630.96	$660.69
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,290.87 / $6,309.57	Facility	$398.11	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $512.86 / $691.83 / $1,174.90	Professional	$512.86	$691.83	$1,174.90

Pennsylvania rates for HCPCS 43100