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 $57.54 / $213.80 / $758.58	Facility	$57.54	$213.80	$758.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $102.33 / $181.97	Professional	$38.02	$102.33	$181.97
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $5,011.87 / $8,511.38 / $77,624.71	Facility	$5,011.87	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $218.78	Professional	$107.15	$125.89	$218.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $331.13 / $912.01	Facility	$66.07	$331.13	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $123.03 / $245.47	Professional	$44.67	$123.03	$245.47
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility	$79.43	$79.43	$79.43
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $208.93 / $275.42	Professional	$162.18	$208.93	$275.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $165.96 / $239.88	Professional	$77.62	$165.96	$239.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $1,071.52 / $1,548.82	Facility	$616.60	$1,071.52	$1,548.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $147.91 / $436.52	Professional	$33.88	$147.91	$436.52
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $371.54 / $758.58	Facility	$102.33	$371.54	$758.58
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $104.71 / $181.97	Professional	$37.15	$104.71	$181.97
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Facility	$229.09	$229.09	$229.09
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $239.88 / $281.84	Professional	$204.17	$239.88	$281.84
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $123.03	Facility	$30.90	$48.98	$123.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $48.98 / $134.90	Professional	$30.90	$48.98	$134.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $977.24 / $1,122.02	Facility	$588.84	$977.24	$1,122.02
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $109.65 / $223.87	Professional	$38.90	$109.65	$223.87

Pennsylvania rates for HCPCS 96542