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 $758.58 / $2,137.96 / $6,025.60	Facility		$758.58	$2,137.96	$6,025.60
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $724.44 / $1,905.46 / $2,041.74	Facility	52	$724.44	$1,905.46	$2,041.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $223.87 / $741.31	Professional		$69.18	$223.87	$741.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $120.23 / $223.87	Professional		$72.44	$120.23	$223.87
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,019.95 / $7,585.78	Facility		$1,862.09	$3,019.95	$7,585.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $331.13	Professional		$169.82	$169.82	$331.13
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $2,344.23 / $57,543.99	Facility		$1,995.26	$2,344.23	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $208.93 / $562.34	Professional		$194.98	$208.93	$562.34
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $776.25 / $1,445.44	Facility		$234.42	$776.25	$1,445.44
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility	22	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility	52	$186.21	$186.21	$186.21
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Facility	53	$46.77	$46.77	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $309.03 / $588.84	Professional		$151.36	$309.03	$588.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $537.03 / $870.96	Professional		$331.13	$537.03	$870.96
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $851.14 / $891.25	Facility		$549.54	$851.14	$891.25
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $407.38 / $676.08	Professional		$177.83	$407.38	$676.08
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $1,862.09 / $3,311.31	Facility		$870.96	$1,862.09	$3,311.31
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $436.52 / $575.44 / $2,187.76	Facility	52	$436.52	$575.44	$2,187.76
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $177.83 / $263.03	Professional		$154.88	$177.83	$263.03
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $3,019.95 / $7,585.78	Facility		$616.60	$3,019.95	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $169.82 / $295.12	Professional		$147.91	$169.82	$295.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,513.56 / $5,011.87	Facility		$199.53	$1,513.56	$5,011.87
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $363.08 / $812.83	Professional		$144.54	$363.08	$812.83
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 $354.81 / $741.31 / $891.25	Professional		$354.81	$741.31	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $363.08 / $416.87	Facility		$134.90	$363.08	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $363.08 / $416.87	Professional		$134.90	$363.08	$416.87
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 $125.89 / $309.03 / $575.44	Professional		$125.89	$309.03	$575.44

Pennsylvania rates for HCPCS 43239