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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $40.74 / $75.86	Facility		$21.88	$40.74	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $38.90	Professional		$18.20	$21.88	$38.90
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
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 $24.55 / $28.84 / $56.23	Professional		$24.55	$28.84	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $64.57 / $125.89	Facility		$50.12	$64.57	$125.89
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $31.62 / $57.54	Professional		$17.78	$31.62	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $50.12 / $51.29	Professional		$41.69	$50.12	$51.29
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $35.48 / $58.88	Professional		$29.51	$35.48	$58.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $39.81 / $44.67	Facility		$19.95	$39.81	$44.67
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $34.67	Professional		$18.20	$21.88	$34.67
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $63.10 / $89.13	Facility		$63.10	$63.10	$89.13
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $23.44 / $67.61	Professional		$22.39	$23.44	$67.61
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $30.90	Facility		$12.30	$15.49	$30.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $15.49 / $35.48	Professional		$12.30	$15.49	$35.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $33.88 / $33.88	Facility		$30.90	$33.88	$33.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $47.86	Professional		$23.99	$32.36	$47.86

Pennsylvania rates for HCPCS 97542