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 $2,041.74 / $2,454.71 / $4,365.16	Professional	$2,041.74	$2,454.71	$4,365.16
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,905.46 / $1,905.46 / $1,905.46	Professional	$1,905.46	$1,905.46	$1,905.46
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 $3,235.94 / $3,548.13 / $3,548.13	Professional	$3,235.94	$3,548.13	$3,548.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $3,981.07	Facility	$489.78	$794.33	$3,981.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $2,630.27 / $4,677.35	Professional	$1,584.89	$2,630.27	$4,677.35
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,897.79 / $4,897.79 / $4,897.79	Facility	$4,897.79	$4,897.79	$4,897.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,344.23 / $3,162.28 / $4,365.16	Professional	$2,344.23	$3,162.28	$4,365.16
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,995.26 / $2,398.83 / $3,715.35	Professional	$1,995.26	$2,398.83	$3,715.35
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $1,819.70 / $2,454.71	Professional	$1,819.70	$1,819.70	$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 $1,819.70 / $2,398.83 / $4,168.69	Professional	$1,819.70	$2,398.83	$4,168.69
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $1,819.70 / $1,819.70	Facility	$1,819.70	$1,819.70	$1,819.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $3,981.07 / $5,011.87	Professional	$1,819.70	$3,981.07	$5,011.87
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,737.80 / $1,737.80 / $2,238.72	Facility	$1,737.80	$1,737.80	$2,238.72
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,238.72 / $2,344.23	Professional	$1,737.80	$2,238.72	$2,344.23
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 $1,819.70 / $2,511.89 / $4,466.84	Professional	$1,819.70	$2,511.89	$4,466.84

Pennsylvania rates for HCPCS 43622