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 $28.18 / $60.26 / $3,090.30	Facility	$28.18	$60.26	$3,090.30
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $25.70 / $1,445.44	Professional	$25.12	$25.70	$1,445.44
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $27.54 / $5,011.87	Facility	$23.44	$27.54	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	$26.30	$26.30	$26.30
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $63.10 / $97.72	Facility	$25.70	$63.10	$97.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	$25.70	$25.70	$25.70
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $38.02	Professional	$23.44	$23.44	$38.02
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	$25.70	$25.70	$25.70
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $33.88 / $51.29	Professional	$25.70	$33.88	$51.29
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $109.65	Facility	$54.95	$54.95	$109.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $28.84	Professional	$26.92	$26.92	$28.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $38.90 / $75.86	Facility	$27.54	$38.90	$75.86
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $25.70 / $37.15	Professional	$25.12	$25.70	$37.15
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $30.20 / $114.82	Professional	$0.60	$30.20	$114.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $39.81	Facility	$25.12	$30.20	$39.81
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $39.81	Professional	$25.12	$30.20	$39.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility	$25.70	$25.70	$25.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $26.92 / $38.90	Professional	$19.95	$26.92	$38.90

Pennsylvania rates for HCPCS Q5118