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 $32.36 / $72.44 / $4,073.80	Facility	$32.36	$72.44	$4,073.80
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $2,951.21	Professional	$32.36	$33.11	$2,951.21
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $25.12 / $5,011.87	Facility	$21.38	$25.12	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $23.99 / $25.12	Professional	$23.99	$23.99	$25.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $97.72 / $104.71	Facility	$28.18	$97.72	$104.71
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional	$28.18	$28.18	$28.18
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	$28.18	$28.18	$28.18
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $48.98 / $48.98	Professional	$41.69	$48.98	$48.98
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $141.25	Facility	$25.70	$38.90	$141.25
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $42.66 / $83.18	Facility	$28.18	$42.66	$83.18
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $32.36 / $38.02	Professional	$28.18	$32.36	$38.02
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $23.44 / $38.90	Facility	$8.32	$23.44	$38.90
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $23.44 / $38.90	Professional	$8.32	$23.44	$38.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $57.54	Professional	$34.67	$34.67	$57.54

Pennsylvania rates for HCPCS Q5121