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 $407.38 / $2,884.03 / $7,413.10	Facility		$407.38	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $398.11 / $1,071.52	Professional		$194.98	$398.11	$1,071.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $199.53	Professional		$173.78	$173.78	$199.53
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,511.89 / $3,467.37 / $11,220.18	Facility		$2,511.89	$3,467.37	$11,220.18
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
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 $281.84 / $891.25 / $1,047.13	Professional		$281.84	$891.25	$1,047.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,288.25 / $2,290.87	Facility		$338.84	$1,288.25	$2,290.87
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $380.19 / $1,000.00	Professional		$208.93	$380.19	$1,000.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $891.25 / $1,412.54	Professional		$239.88	$891.25	$1,412.54
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $1,258.93 / $1,548.82	Facility		$977.24	$1,258.93	$1,548.82
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $676.08 / $1,122.02	Professional		$263.03	$676.08	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $3,981.07 / $8,709.64	Facility		$2,454.71	$3,981.07	$8,709.64
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $263.03 / $389.05	Professional		$229.09	$263.03	$389.05
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $3,019.95 / $5,495.41	Facility		$2,089.30	$3,019.95	$5,495.41
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $245.47 / $275.42	Professional		$245.47	$245.47	$275.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,584.89 / $6,606.93	Facility		$295.12	$1,584.89	$6,606.93
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $512.86 / $1,202.26	Professional		$208.93	$512.86	$1,202.26
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $794.33 / $1,445.44	Professional		$331.13	$794.33	$1,445.44
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $380.19 / $602.56	Facility		$194.98	$380.19	$602.56
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $616.60	Professional		$194.98	$407.38	$616.60
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 $181.97 / $389.05 / $933.25	Professional		$181.97	$389.05	$933.25

Pennsylvania rates for HCPCS 43255