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 $1,513.56 / $1,819.70 / $3,311.31	Professional	$1,513.56	$1,819.70	$3,311.31
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 $2,398.83 / $2,630.27 / $2,630.27	Professional	$2,398.83	$2,630.27	$2,630.27
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $489.78 / $794.33 / $2,884.03	Facility	$489.78	$794.33	$2,884.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,995.26 / $3,467.37	Professional	$1,174.90	$1,995.26	$3,467.37
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,630.78 / $3,630.78 / $3,630.78	Facility	$3,630.78	$3,630.78	$3,630.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,737.80 / $2,344.23 / $3,235.94	Professional	$1,737.80	$2,344.23	$3,235.94
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,778.28 / $2,818.38	Professional	$1,548.82	$1,778.28	$2,818.38
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 $1,412.54 / $1,778.28 / $2,818.38	Professional	$1,412.54	$1,778.28	$2,818.38
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $1,548.82 / $1,548.82	Facility	$1,548.82	$1,548.82	$1,548.82
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $3,019.95 / $3,715.35	Professional	$1,548.82	$3,019.95	$3,715.35
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $1,659.59 / $1,659.59	Facility	$1,513.56	$1,659.59	$1,659.59
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,698.24 / $1,737.80	Professional	$1,584.89	$1,698.24	$1,737.80
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 $1,412.54 / $1,862.09 / $3,311.31	Professional	$1,412.54	$1,862.09	$3,311.31

Pennsylvania rates for HCPCS 43865