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 $48.98 / $72.44 / $120.23	Facility		$48.98	$72.44	$120.23
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $47.86 / $48.98 / $66.07	Facility	25	$47.86	$48.98	$66.07
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $112.20 / $263.03	Professional		$64.57	$112.20	$263.03
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $72.44 / $125.89 / $288.40	Professional	25	$72.44	$125.89	$288.40
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $147.91	Professional		$70.79	$104.71	$147.91
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $81.28 / $109.65 / $147.91	Professional	25	$81.28	$109.65	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $165.96	Professional		$77.62	$104.71	$165.96
Aultcare Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $109.65 / $169.82	Professional		$89.13	$109.65	$169.82
CareSource Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $128.82	Facility		$75.86	$89.13	$128.82
CareSource Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $114.82 / $223.87	Professional		$102.33	$114.82	$223.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $125.89 / $165.96	Facility		$95.50	$125.89	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $194.98	Professional		$77.62	$112.20	$194.98
Medical Mutual of Ohio Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $128.82 / $204.17	Facility		$95.50	$128.82	$204.17
Medical Mutual of Ohio Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $123.03 / $186.21	Professional		$79.43	$123.03	$186.21
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $33.11 / $67.61	Professional		$32.36	$33.11	$67.61
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $120.23 / $181.97	Professional		$50.12	$120.23	$181.97
SummaCare Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $112.20 / $158.49	Professional		$79.43	$112.20	$158.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $95.50 / $138.04	Facility		$81.28	$95.50	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $177.83	Professional		$66.07	$102.33	$177.83
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $109.65 / $177.83	Professional	25	$79.43	$109.65	$177.83

Ohio rates for HCPCS 99203