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 $7.94 / $10.00 / $15.85	Facility		$7.94	$10.00	$15.85
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $15.14 / $27.54	Professional		$7.76	$15.14	$27.54
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $0.30 / $12.59 / $12.59	Professional	25	$0.30	$12.59	$12.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $16.22 / $20.89	Professional		$7.94	$16.22	$20.89
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $19.05 / $19.05	Professional		$16.22	$19.05	$19.05
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $17.78 / $28.84	Professional		$15.14	$17.78	$28.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Professional		$15.14	$15.14	$15.14
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $27.54 / $38.02	Professional		$19.95	$27.54	$38.02
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.50 / $30.90	Professional		$15.14	$19.50	$30.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $19.95 / $22.91	Professional		$17.78	$19.95	$22.91
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	25	$22.91	$22.91	$22.91
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $19.05 / $20.42	Professional		$16.22	$19.05	$20.42
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $15.85	Facility		$7.94	$7.94	$15.85
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $14.79 / $26.92	Professional		$7.76	$14.79	$26.92
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $33.11 / $42.66	Professional		$8.51	$33.11	$42.66
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $16.22 / $30.20	Facility		$8.32	$16.22	$30.20
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $10.72 / $19.05	Professional		$6.92	$10.72	$19.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $56.23 / $97.72	Facility		$50.12	$56.23	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $16.22 / $28.84	Professional		$8.51	$16.22	$28.84

Pennsylvania rates for HCPCS G0442