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 $1,047.13 / $5,754.40 / $8,511.38	Facility	$1,047.13	$5,754.40	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,318.26 / $1,548.82 / $2,630.27	Professional	$1,318.26	$1,548.82	$2,630.27
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $20,417.38 / $21,379.62 / $57,543.99	Facility	$20,417.38	$21,379.62	$57,543.99
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,041.74 / $2,187.76 / $2,187.76	Professional	$2,041.74	$2,187.76	$2,187.76
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $2,454.71	Facility	$489.78	$794.33	$2,454.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,698.24 / $3,019.95	Professional	$977.24	$1,698.24	$3,019.95
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,162.28 / $3,162.28 / $3,162.28	Facility	$3,162.28	$3,162.28	$3,162.28
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $2,041.74 / $2,818.38	Professional	$1,513.56	$2,041.74	$2,818.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,348.96 / $1,548.82 / $2,454.71	Professional	$1,348.96	$1,548.82	$2,454.71
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $3,981.07 / $8,317.64	Facility	$831.76	$3,981.07	$8,317.64
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,258.93 / $1,513.56 / $2,344.23	Professional	$1,258.93	$1,513.56	$2,344.23
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $1,412.54	Facility	$1,412.54	$1,412.54	$1,412.54
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $2,570.40 / $3,162.28	Professional	$1,412.54	$2,570.40	$3,162.28
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $1,318.26	Facility	$870.96	$870.96	$1,318.26
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $870.96 / $870.96 / $1,318.26	Professional	$870.96	$870.96	$1,318.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $398.11 / $2,290.87 / $6,309.57	Facility	$398.11	$2,290.87	$6,309.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,621.81 / $2,754.23	Professional	$1,202.26	$1,621.81	$2,754.23

Pennsylvania rates for HCPCS 43425