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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $3,981.07 / $8,317.64	Facility	$1,071.52	$3,981.07	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,071.52 / $1,862.09	Professional	$933.25	$1,071.52	$1,862.09
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $6,456.54 / $7,585.78 / $57,543.99	Facility	$6,456.54	$7,585.78	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,548.82 / $1,548.82	Professional	$1,445.44	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $1,737.80	Facility	$489.78	$794.33	$1,737.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,174.90 / $2,041.74	Professional	$691.83	$1,174.90	$2,041.74
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Facility	$1,995.26	$1,995.26	$1,995.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $1,258.93 / $1,819.70	Professional	$933.25	$1,258.93	$1,819.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,023.29 / $1,584.89	Professional	$851.14	$1,023.29	$1,584.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $2,570.40 / $8,317.64	Facility	$912.01	$2,570.40	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $831.76 / $1,047.13 / $1,737.80	Professional	$831.76	$1,047.13	$1,737.80
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $954.99 / $954.99	Facility	$954.99	$954.99	$954.99
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,659.59 / $2,187.76	Professional	$954.99	$1,659.59	$2,187.76
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $1,000.00 / $1,000.00	Facility	$912.01	$1,000.00	$1,000.00
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $1,000.00 / $1,047.13	Professional	$478.63	$1,000.00	$1,047.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $3,311.31 / $10,715.19	Facility	$933.25	$3,311.31	$10,715.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,096.48 / $1,905.46	Professional	$812.83	$1,096.48	$1,905.46

Pennsylvania rates for HCPCS 43420