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 $162.18 / $426.58 / $6,309.57	Facility	$162.18	$426.58	$6,309.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $2,951.21	Professional	$162.18	$162.18	$2,951.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	$162.18	$162.18	$162.18
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $173.78 / $5,011.87	Facility	$147.91	$173.78	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $169.82 / $169.82	Professional	$169.82	$169.82	$169.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $354.81 / $512.86	Facility	$134.90	$354.81	$512.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $141.25	Professional	$134.90	$134.90	$141.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $147.91 / $190.55	Professional	$128.82	$147.91	$190.55
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	$134.90	$134.90	$134.90
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $234.42 / $398.11	Professional	$141.25	$234.42	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $338.84 / $363.08	Facility	$275.42	$338.84	$363.08
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $204.17 / $426.58	Facility	$138.04	$204.17	$426.58
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $162.18 / $251.19	Professional	$138.04	$162.18	$251.19
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $30.20 / $457.09	Professional	$0.60	$30.20	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $158.49	Facility	$123.03	$123.03	$158.49
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $158.49	Professional	$123.03	$123.03	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	$134.90	$134.90	$134.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $162.18 / $208.93	Professional	$131.83	$162.18	$208.93

Pennsylvania rates for HCPCS Q5111