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 $22.39 / $48.98 / $63.10	Facility	$22.39	$48.98	$63.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $20.89 / $33.88	Professional	$19.95	$20.89	$33.88
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $22.39 / $5,011.87	Facility	$19.05	$22.39	$5,011.87
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $70.79 / $75.86	Facility	$20.42	$70.79	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Professional	$20.42	$20.42	$20.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $20.42 / $31.62	Professional	$19.95	$20.42	$31.62
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Facility	$20.42	$20.42	$20.42
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $26.30 / $42.66	Professional	$20.42	$26.30	$42.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Facility	$15.85	$15.85	$15.85
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $33.88 / $37.15	Professional	$28.84	$33.88	$37.15
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $30.90 / $112.20	Facility	$19.95	$30.90	$112.20
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $20.42 / $25.70	Professional	$19.95	$20.42	$25.70
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.60 / $30.20 / $144.54	Professional	$0.60	$30.20	$144.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $57.54	Facility	$30.90	$30.90	$57.54
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $891.25	Professional	$30.90	$50.12	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Facility	$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $23.44 / $44.67	Professional	$20.89	$23.44	$44.67

Pennsylvania rates for HCPCS Q5123