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 $83.18 / $138.04 / $269.15	Facility		$83.18	$138.04	$269.15
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $128.82 / $239.88 / $275.42	Facility	25	$128.82	$239.88	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $128.82 / $363.08	Professional		$77.62	$128.82	$363.08
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $75.86 / $131.83 / $338.84	Professional	25	$75.86	$131.83	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $114.82 / $169.82	Professional		$75.86	$114.82	$169.82
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $91.20 / $114.82 / $173.78	Professional	25	$91.20	$114.82	$173.78
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $97.72 / $109.65	Facility		$79.43	$97.72	$109.65
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $194.98	Professional		$79.43	$114.82	$194.98
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $89.13	Facility		$83.18	$83.18	$89.13
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $147.91 / $275.42	Professional		$104.71	$147.91	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $151.36 / $229.09	Facility		$123.03	$151.36	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $120.23 / $213.80	Professional		$81.28	$120.23	$213.80
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $85.11 / $173.78	Professional		$57.54	$85.11	$173.78
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $323.59 / $407.38	Professional		$112.20	$323.59	$407.38
HealthNet Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $194.98 / $194.98 / $199.53	Professional	25	$194.98	$194.98	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $117.49 / $199.53	Professional		$70.79	$117.49	$199.53
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $512.86 / $512.86 / $512.86	Facility		$512.86	$512.86	$512.86
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $173.78 / $691.83	Professional		$100.00	$173.78	$691.83
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $63.10 / $158.49	Professional		$32.36	$63.10	$158.49
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $181.97	Professional		$91.20	$120.23	$181.97
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $112.20 / $181.97	Facility		$69.18	$112.20	$181.97
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $234.42	Professional		$81.28	$123.03	$234.42
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $194.98 / $281.84	Professional		$54.95	$194.98	$281.84
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $72.44 / $131.83	Professional		$57.54	$72.44	$131.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $114.82 / $138.04	Facility		$69.18	$114.82	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $100.00 / $190.55	Professional		$66.07	$100.00	$190.55
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $128.82 / $177.83	Professional	25	$79.43	$128.82	$177.83

California rates for HCPCS 99203