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 $8.32 / $20.42 / $5,370.32	Facility	$8.32	$20.42	$5,370.32
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $8.32 / $4,265.80	Professional	$7.94	$8.32	$4,265.80
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $3.09 / $28,183.83	Facility	$3.09	$3.09	$28,183.83
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $8.71 / $5,011.87	Facility	$7.41	$8.71	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $8.32 / $8.32	Professional	$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $36.31 / $38.90	Facility	$10.47	$36.31	$38.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	$10.47	$10.47	$10.47
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $5.62 / $16.98	Professional	$5.62	$5.62	$16.98
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Facility	$10.47	$10.47	$10.47
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $13.80 / $22.91	Professional	$10.47	$13.80	$22.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $52.48 / $173.78	Facility	$21.38	$52.48	$173.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $9.33 / $29.51	Professional	$8.91	$9.33	$29.51
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.09 / $3.09 / $12.02	Facility	$3.09	$3.09	$12.02
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $15.85 / $74.13	Facility	$10.47	$15.85	$74.13
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $17.78	Professional	$7.94	$7.94	$17.78
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $30.20 / $125.89	Professional	$0.60	$30.20	$125.89
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $38.90	Facility	$32.36	$33.11	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $38.90	Professional	$32.36	$33.11	$38.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Facility	$10.47	$10.47	$10.47
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.76 / $9.12 / $29.51	Professional	$7.76	$9.12	$29.51

Pennsylvania rates for HCPCS Q5116