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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $81.28 / $218.78	Facility		$38.90	$81.28	$218.78
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $97.72 / $147.91 / $218.78	Facility	25	$97.72	$147.91	$218.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $77.62 / $165.96	Professional		$42.66	$77.62	$165.96
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $48.98 / $89.13 / $186.21	Professional	25	$48.98	$89.13	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $72.44 / $114.82	Professional		$42.66	$72.44	$114.82
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $56.23 / $69.18 / $100.00	Professional	25	$56.23	$69.18	$100.00
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $81.28	Professional		$66.07	$77.62	$81.28
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,511.38 / $8,511.38 / $77,624.71	Facility		$8,511.38	$8,511.38	$77,624.71
Capital Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $107.15	Professional		$75.86	$75.86	$107.15
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $147.91 / $257.04	Facility		$85.11	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $70.79 / $114.82	Professional		$46.77	$70.79	$114.82
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $72.44 / $151.36	Professional		$50.12	$72.44	$151.36
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $70.79	Facility		$58.88	$58.88	$70.79
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $131.83	Professional		$58.88	$81.28	$131.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $194.98	Facility		$56.23	$56.23	$194.98
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $56.23 / $56.23 / $165.96	Facility	25	$56.23	$56.23	$165.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $77.62 / $120.23	Professional		$50.12	$77.62	$120.23
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $52.48 / $70.79 / $91.20	Professional	25	$52.48	$70.79	$91.20
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $281.84 / $338.84	Facility		$48.98	$281.84	$338.84
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $77.62 / $83.18	Professional		$66.07	$77.62	$83.18
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $107.15	Facility		$38.90	$60.26	$107.15
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $64.57 / $120.23	Professional		$38.90	$64.57	$120.23
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $77.62 / $95.50	Professional		$39.81	$77.62	$95.50
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $141.25 / $295.12	Facility		$69.18	$141.25	$295.12
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $112.20 / $169.82	Professional		$69.18	$112.20	$169.82
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $46.77 / $74.13	Facility		$42.66	$46.77	$74.13
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $43.65 / $74.13	Professional		$23.99	$43.65	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility		$87.10	$87.10	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $70.79 / $123.03	Professional		$43.65	$70.79	$123.03
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $77.62 / $144.54	Professional	25	$70.79	$77.62	$144.54

Pennsylvania rates for HCPCS 99202