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 $660.69 / $2,691.53 / $8,317.64	Facility	$660.69	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $194.98 / $354.81	Professional	$93.33	$194.98	$354.81
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 $208.93 / $213.80 / $371.54	Professional	$208.93	$213.80	$371.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $371.54 / $575.44	Facility	$165.96	$371.54	$575.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $218.78 / $380.19	Professional	$102.33	$218.78	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	$181.97	$181.97	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $316.23 / $446.68	Professional	$234.42	$316.23	$446.68
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $257.04 / $257.04	Facility	$165.96	$257.04	$257.04
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $223.87 / $354.81	Professional	$112.20	$223.87	$354.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $3,162.28	Facility	$3,162.28	$3,162.28	$3,162.28
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $537.03 / $1,905.46 / $6,606.93	Facility	$537.03	$1,905.46	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $208.93 / $562.34	Professional	$93.33	$208.93	$562.34
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Facility	$549.54	$549.54	$549.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $407.38 / $549.54	Professional	$302.00	$407.38	$549.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $134.90 / $218.78	Facility	$47.86	$134.90	$218.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $147.91 / $309.03	Professional	$75.86	$147.91	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $2,041.74 / $3,890.45	Facility	$602.56	$2,041.74	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $186.21 / $323.59	Professional	$89.13	$186.21	$323.59

Pennsylvania rates for HCPCS 43198