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 $61.66 / $112.20 / $501.19	Facility		$61.66	$112.20	$501.19
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $199.53 / $331.13 / $512.86	Facility	25	$199.53	$331.13	$512.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $117.49 / $295.12	Professional		$67.61	$117.49	$295.12
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $72.44 / $125.89 / $302.00	Professional	25	$72.44	$125.89	$302.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $109.65 / $138.04	Professional		$70.79	$109.65	$138.04
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $89.13 / $109.65 / $131.83	Professional	25	$89.13	$109.65	$131.83
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $489.78 / $549.54	Facility		$302.00	$489.78	$549.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $85.11 / $169.82	Professional		$0.79	$85.11	$169.82
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $158.49	Professional		$117.49	$117.49	$158.49
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $245.47	Facility		$104.71	$134.90	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $251.19	Professional		$85.11	$131.83	$251.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $85.11	Facility		$0.10	$0.10	$85.11
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $81.28 / $190.55	Professional		$54.95	$81.28	$190.55
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $40.74 / $125.89	Facility		$36.31	$40.74	$125.89
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $109.65 / $223.87	Professional		$79.43	$109.65	$223.87
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $144.54 / $190.55	Professional		$44.67	$144.54	$190.55
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $63.10 / $131.83 / $173.78	Professional	25	$63.10	$131.83	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $218.78 / $218.78 / $489.78	Facility		$218.78	$218.78	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $141.25 / $223.87	Professional		$117.49	$141.25	$223.87
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $112.20 / $138.04 / $194.98	Professional	25	$112.20	$138.04	$194.98
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $251.19	Professional		$117.49	$147.91	$251.19
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $117.49 / $158.49	Professional		$48.98	$117.49	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $69.18 / $114.82	Facility		$44.67	$69.18	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $91.20 / $309.03	Professional		$30.90	$91.20	$309.03
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $97.72 / $100.00 / $134.90	Professional	25	$97.72	$100.00	$134.90
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $64.57 / $138.04	Facility		$36.31	$64.57	$138.04
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $114.82 / $204.17	Professional		$79.43	$114.82	$204.17

New York rates for HCPCS 99203