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 $181.97 / $691.83 / $691.83	Facility	$181.97	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $229.09 / $398.11	Professional	$177.83	$229.09	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Professional	$346.74	$346.74	$346.74
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 $407.38 / $407.38 / $407.38	Professional	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $407.38	Facility	$263.03	$263.03	$407.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $263.03	Professional	$190.55	$190.55	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $537.03 / $776.25	Professional	$380.19	$537.03	$776.25
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	$407.38	$407.38	$407.38
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $288.40 / $407.38	Professional	$245.47	$288.40	$407.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $281.84 / $281.84	Professional	$275.42	$281.84	$281.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Facility	$181.97	$181.97	$181.97
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $363.08	Professional	$165.96	$213.80	$363.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $549.54 / $794.33	Professional	$0.60	$549.54	$794.33
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $380.19	Facility	$190.55	$190.55	$380.19
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $389.05	Professional	$190.55	$190.55	$389.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $549.54 / $630.96	Facility	$181.97	$549.54	$630.96
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $229.09 / $407.38	Professional	$181.97	$229.09	$407.38

Pennsylvania rates for HCPCS L5925