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 $389.05 / $2,290.87 / $6,309.57	Facility		$389.05	$2,290.87	$6,309.57
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $562.34 / $1,258.93 / $1,380.38	Facility	52	$562.34	$1,258.93	$1,380.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $346.74 / $691.83	Professional		$169.82	$346.74	$691.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $165.96 / $371.54	Professional		$75.86	$165.96	$371.54
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $3,467.37 / $26,915.35	Facility		$2,454.71	$3,467.37	$26,915.35
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $245.47	Professional		$218.78	$218.78	$245.47
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 / $354.81 / $426.58	Professional		$245.47	$354.81	$426.58
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $776.25 / $1,445.44	Facility		$295.12	$776.25	$1,445.44
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
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 Facility Modifier 53 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $630.96	Professional		$181.97	$302.00	$630.96
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 / $602.56 / $891.25	Professional		$239.88	$602.56	$891.25
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $588.84 / $794.33	Facility		$501.19	$588.84	$794.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $426.58 / $691.83	Professional		$186.21	$426.58	$691.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $1,862.09 / $3,715.35	Facility		$891.25	$1,862.09	$3,715.35
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,445.44 / $1,445.44 / $2,570.40	Facility	52	$1,445.44	$1,445.44	$2,570.40
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $223.87 / $338.84	Professional		$194.98	$223.87	$338.84
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $3,019.95 / $7,585.78	Facility		$1,348.96	$3,019.95	$7,585.78
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $245.47	Professional		$218.78	$218.78	$245.47
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,288.25 / $5,370.32	Facility		$257.04	$1,288.25	$5,370.32
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $380.19 / $812.83	Professional		$181.97	$380.19	$812.83
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 / $645.65 / $891.25	Professional		$263.03	$645.65	$891.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $346.74 / $407.38	Facility		$114.82	$346.74	$407.38
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $371.54 / $407.38	Professional		$114.82	$371.54	$407.38
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 $162.18 / $288.40 / $575.44	Professional		$162.18	$288.40	$575.44

Pennsylvania rates for HCPCS 43247