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 $269.15 / $1,047.13 / $1,047.13	Facility	$269.15	$1,047.13	$1,047.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $295.12 / $537.03	Professional	$257.04	$295.12	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $457.09 / $524.81	Professional	$446.68	$457.09	$524.81
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 $602.56 / $602.56 / $602.56	Professional	$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $602.56	Facility	$380.19	$380.19	$602.56
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $380.19	Professional	$281.84	$281.84	$380.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $870.96 / $1,258.93	Professional	$616.60	$870.96	$1,258.93
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Facility	$616.60	$616.60	$616.60
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $426.58 / $616.60	Professional	$371.54	$426.58	$616.60
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $478.63	Professional	$416.87	$416.87	$478.63
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	$269.15	$269.15	$269.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $295.12 / $501.19	Professional	$257.04	$295.12	$501.19
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $19,054.61 / $19,054.61 / $19,054.61	Facility	$19,054.61	$19,054.61	$19,054.61
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $891.25 / $1,288.25	Professional	$0.60	$891.25	$1,288.25
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $416.87 / $575.44	Facility	$416.87	$416.87	$575.44
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $416.87 / $575.44	Professional	$407.38	$416.87	$575.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $269.15 / $812.83 / $933.25	Facility	$269.15	$812.83	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $354.81 / $645.65	Professional	$269.15	$354.81	$645.65

Pennsylvania rates for HCPCS L5940