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 $66.07 / $114.82 / $251.19	Facility		$66.07	$114.82	$251.19
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $141.25 / $229.09 / $257.04	Facility	25	$141.25	$229.09	$257.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $269.15	Professional		$67.61	$114.82	$269.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $123.03 / $269.15	Professional	25	$70.79	$123.03	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $169.82	Professional		$74.13	$114.82	$169.82
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $89.13 / $112.20 / $165.96	Professional	25	$89.13	$112.20	$165.96
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $125.89	Professional		$87.10	$117.49	$125.89
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 $102.33 / $120.23 / $181.97	Professional		$102.33	$120.23	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $147.91 / $257.04	Facility		$120.23	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $109.65 / $173.78	Professional		$75.86	$109.65	$173.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $158.49	Facility		$54.95	$54.95	$158.49
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $81.28 / $234.42	Professional		$54.95	$81.28	$234.42
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $104.71	Facility		$87.10	$87.10	$104.71
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $199.53	Professional		$87.10	$125.89	$199.53
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $323.59 / $512.86	Facility		$70.79	$323.59	$512.86
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $70.79 / $257.04 / $257.04	Facility	25	$70.79	$257.04	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $120.23 / $181.97	Professional		$85.11	$120.23	$181.97
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $91.20 / $109.65 / $169.82	Professional	25	$91.20	$109.65	$169.82
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $1,819.70	Facility		$85.11	$114.82	$1,819.70
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $117.49 / $125.89	Professional		$93.33	$117.49	$125.89
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $93.33 / $190.55	Facility		$66.07	$93.33	$190.55
Martin's Point Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	25	$190.55	$190.55	$190.55
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $97.72 / $173.78	Professional		$66.07	$97.72	$173.78
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $117.49 / $147.91	Professional		$50.12	$117.49	$147.91
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $169.82 / $436.52	Facility		$100.00	$169.82	$436.52
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $177.83 / $245.47	Professional		$100.00	$177.83	$245.47
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $107.15 / $309.03	Facility		$51.29	$107.15	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $51.29 / $114.82	Professional		$27.54	$51.29	$114.82
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $186.21	Professional		$67.61	$102.33	$186.21
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $97.72 / $181.97	Professional	25	$70.79	$97.72	$181.97

Pennsylvania rates for HCPCS 99203