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 $645.65 / $2,630.27 / $6,165.95	Facility		$645.65	$2,630.27	$6,165.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $302.00 / $1,584.89	Professional		$138.04	$302.00	$1,584.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $169.82 / $1,023.29	Professional		$66.07	$169.82	$1,023.29
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,570.40 / $3,467.37 / $10,964.78	Facility		$2,570.40	$3,467.37	$10,964.78
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $165.96 / $204.17	Professional		$95.50	$165.96	$204.17
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 $234.42 / $1,584.89 / $1,905.46	Professional		$234.42	$1,584.89	$1,905.46
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $1,288.25 / $2,398.83	Facility		$257.04	$1,288.25	$2,398.83
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility	22	$309.03	$309.03	$309.03
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $204.17 / $204.17 / $204.17	Facility	52	$204.17	$204.17	$204.17
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $275.42 / $1,698.24	Professional		$158.49	$275.42	$1,698.24
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $1,479.11 / $2,089.30	Professional		$239.88	$1,479.11	$2,089.30
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $1,348.96 / $1,548.82	Facility		$891.25	$1,348.96	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $1,148.15 / $1,905.46	Professional		$162.18	$1,148.15	$1,905.46
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,258.93 / $3,890.45 / $7,413.10	Facility		$1,258.93	$3,890.45	$7,413.10
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $4,365.16 / $4,365.16 / $4,365.16	Facility	52	$4,365.16	$4,365.16	$4,365.16
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $194.98 / $269.15	Professional		$165.96	$194.98	$269.15
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $3,090.30 / $7,762.47	Facility		$1,995.26	$3,090.30	$7,762.47
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $190.55 / $204.17	Professional		$95.50	$190.55	$204.17
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $2,187.76 / $6,165.95	Facility		$186.21	$2,187.76	$6,165.95
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $446.68 / $2,089.30	Professional		$158.49	$446.68	$2,089.30
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility		$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $1,778.28 / $2,511.89	Professional		$229.09	$1,778.28	$2,511.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $407.38 / $1,047.13	Facility		$147.91	$407.38	$1,047.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $407.38 / $1,071.52	Professional		$147.91	$407.38	$1,071.52
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 $138.04 / $275.42 / $1,548.82	Professional		$138.04	$275.42	$1,548.82

Pennsylvania rates for HCPCS 43249