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 $3.98 / $7.08 / $7.08	Facility	$3.98	$7.08	$7.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $5.01 / $8.51	Professional	$3.02	$5.01	$8.51
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $5.89 / $5.89	Professional	$4.68	$5.89	$5.89
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 $9.12 / $9.12 / $9.12	Professional	$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.31 / $6.31 / $10.00	Facility	$6.31	$6.31	$10.00
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $5.37 / $6.92	Professional	$5.37	$5.37	$6.92
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $10.00 / $16.98	Professional	$8.32	$10.00	$16.98
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.33 / $9.33 / $9.33	Facility	$9.33	$9.33	$9.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.57 / $5.62 / $9.33	Professional	$4.57	$5.62	$9.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $6.92 / $12.02	Professional	$6.17	$6.92	$12.02
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $5.89 / $5.89	Professional	$5.89	$5.89	$5.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.98 / $3.98 / $3.98	Facility	$3.98	$3.98	$3.98
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.02 / $5.01 / $7.94	Professional	$3.02	$5.01	$7.94
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $12.88 / $18.20	Professional	$0.60	$12.88	$18.20
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $6.46 / $8.71	Facility	$6.46	$6.46	$8.71
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.31 / $7.24 / $10.00	Professional	$6.31	$7.24	$10.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.47 / $4.37 / $6.61	Facility	$3.47	$4.37	$6.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $4.57 / $9.55	Professional	$3.55	$4.57	$9.55

Pennsylvania rates for HCPCS A5121