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 $831.76 / $2,691.53 / $8,317.64	Facility	$831.76	$2,691.53	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $154.88 / $380.19	Professional	$125.89	$154.88	$380.19
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 $190.55 / $204.17 / $204.17	Professional	$190.55	$204.17	$204.17
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,230.27 / $2,454.71	Facility	$229.09	$1,230.27	$2,454.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $223.87 / $380.19	Professional	$128.82	$223.87	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	$269.15	$269.15	$269.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $251.19	Professional	$125.89	$169.82	$251.19
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $1,258.93 / $1,548.82	Facility	$1,000.00	$1,258.93	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $281.84	Professional	$123.03	$190.55	$281.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $1,995.26 / $7,244.36	Facility	$588.84	$1,995.26	$7,244.36
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $169.82 / $812.83	Professional	$128.82	$169.82	$812.83
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $295.12	Facility	$295.12	$295.12	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $281.84 / $436.52	Professional	$177.83	$281.84	$436.52
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $263.03 / $309.03	Facility	$131.83	$263.03	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $302.00 / $416.87	Professional	$77.62	$302.00	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $2,630.27 / $6,309.57	Facility	$588.84	$2,630.27	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $165.96 / $295.12	Professional	$114.82	$165.96	$295.12

Pennsylvania rates for HCPCS 43204