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 $537.03 / $3,311.31 / $7,244.36	Facility		$537.03	$3,311.31	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $363.08 / $1,000.00	Professional		$169.82	$363.08	$1,000.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $154.88 / $245.47	Professional		$75.86	$154.88	$245.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $11,481.54	Facility		$2,511.89	$3,467.37	$11,481.54
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 $245.47 / $891.25 / $1,318.26	Professional		$245.47	$891.25	$1,318.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,288.25 / $2,454.71	Facility		$295.12	$1,288.25	$2,454.71
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $309.03 / $933.25	Professional		$173.78	$309.03	$933.25
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $812.83 / $1,174.90	Professional		$239.88	$812.83	$1,174.90
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,258.93 / $1,584.89	Facility		$977.24	$1,258.93	$1,584.89
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $645.65 / $1,047.13	Professional		$177.83	$645.65	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,288.25 / $4,168.69 / $7,585.78	Facility		$1,288.25	$4,168.69	$7,585.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $234.42 / $389.05	Professional		$204.17	$234.42	$389.05
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $3,019.95 / $5,623.41	Facility		$1,995.26	$3,019.95	$5,623.41
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $2,187.76 / $6,165.95	Facility		$281.84	$2,187.76	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $501.19 / $1,258.93	Professional		$177.83	$501.19	$1,258.93
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $1,000.00 / $1,380.38	Professional		$263.03	$1,000.00	$1,380.38
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $407.38 / $575.44	Facility		$75.86	$407.38	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $407.38 / $588.84	Professional		$112.20	$407.38	$588.84
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 $158.49 / $331.13 / $851.14	Professional		$158.49	$331.13	$851.14

Pennsylvania rates for HCPCS 43245