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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,630.27 / $7,762.47	Facility		$398.11	$2,630.27	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $234.42 / $457.09	Professional		$85.11	$234.42	$457.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $74.13	Professional		$38.90	$48.98	$74.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,691.53 / $57,543.99	Facility		$2,630.27	$2,691.53	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $234.42 / $389.05	Professional		$131.83	$234.42	$389.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $724.44 / $1,380.38	Facility		$147.91	$724.44	$1,380.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $208.93 / $407.38	Professional		$93.33	$208.93	$407.38
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $416.87 / $630.96	Professional		$309.03	$416.87	$630.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $794.33 / $851.14	Facility		$549.54	$794.33	$851.14
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $288.40 / $467.74	Professional		$114.82	$288.40	$467.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,238.72 / $2,951.21	Facility		$1,995.26	$2,238.72	$2,951.21
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $134.90	Professional		$102.33	$102.33	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $1,778.28 / $6,606.93	Facility		$407.38	$1,778.28	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $245.47 / $602.56	Professional		$89.13	$245.47	$602.56
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $501.19 / $602.56	Professional		$346.74	$501.19	$602.56
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $257.04 / $602.56	Facility		$85.11	$257.04	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $257.04 / $309.03	Professional		$85.11	$257.04	$309.03
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,041.74 / $3,890.45	Facility		$588.84	$2,041.74	$3,890.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $199.53 / $389.05	Professional		$81.28	$199.53	$389.05

Pennsylvania rates for HCPCS 43200