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 $1,698.24 / $6,606.93 / $6,606.93	Facility	$1,698.24	$6,606.93	$6,606.93
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,548.82 / $1,905.46 / $3,162.28	Professional	$1,548.82	$1,905.46	$3,162.28
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,311.31 / $3,311.31 / $3,311.31	Professional	$3,311.31	$3,311.31	$3,311.31
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 $2,691.53 / $3,388.44 / $3,890.45	Professional	$2,691.53	$3,388.44	$3,890.45
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $3,467.37	Facility	$2,137.96	$2,137.96	$3,467.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,584.89 / $1,584.89 / $2,137.96	Professional	$1,584.89	$1,584.89	$2,137.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3,467.37 / $5,011.87 / $7,244.36	Professional	$3,467.37	$5,011.87	$7,244.36
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $3,890.45 / $3,890.45	Facility	$3,890.45	$3,890.45	$3,890.45
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,344.23 / $2,630.27 / $3,890.45	Professional	$2,344.23	$2,630.27	$3,890.45
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,691.53 / $2,691.53 / $3,090.30	Professional	$2,691.53	$2,691.53	$3,090.30
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $1,698.24 / $1,698.24	Facility	$1,698.24	$1,698.24	$1,698.24
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,513.56 / $1,905.46 / $2,818.38	Professional	$1,513.56	$1,905.46	$2,818.38
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $5,128.61 / $7,413.10	Professional	$0.60	$5,128.61	$7,413.10
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $3,630.78	Facility	$2,630.27	$2,630.27	$3,630.78
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $2,630.27 / $2,630.27 / $3,890.45	Professional	$2,630.27	$2,630.27	$3,890.45
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,548.82 / $4,677.35 / $5,370.32	Facility	$1,548.82	$4,677.35	$5,370.32
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,659.59 / $2,137.96 / $3,801.89	Professional	$1,659.59	$2,137.96	$3,801.89

Pennsylvania rates for HCPCS L5981