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 $100.00 / $165.96 / $489.78	Facility		$100.00	$165.96	$489.78
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $213.80 / $436.52 / $933.25	Facility	25	$213.80	$436.52	$933.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $181.97 / $436.52	Professional		$107.15	$181.97	$436.52
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $117.49 / $204.17 / $501.19	Professional	25	$117.49	$204.17	$501.19
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $158.49 / $199.53	Professional		$112.20	$158.49	$199.53
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $125.89 / $165.96 / $204.17	Professional	25	$125.89	$165.96	$204.17
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $912.01 / $977.24	Facility		$812.83	$912.01	$977.24
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $112.20 / $251.19	Professional		$0.79	$112.20	$251.19
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $263.03	Facility		$109.65	$199.53	$263.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $199.53 / $380.19	Professional		$128.82	$199.53	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $141.25	Facility		$0.10	$0.10	$141.25
Emblem Health Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $0.10 / $0.10 / $0.10	Facility	25	$0.10	$0.10	$0.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $104.71 / $288.40	Professional		$91.20	$104.71	$288.40
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $186.21	Facility		$36.31	$45.71	$186.21
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $169.82 / $338.84	Professional		$120.23	$169.82	$338.84
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $169.82 / $213.80	Professional		$93.33	$169.82	$213.80
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $128.82 / $158.49 / $288.40	Professional	25	$128.82	$158.49	$288.40
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $602.56 / $741.31	Facility		$281.84	$602.56	$741.31
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $575.44 / $575.44 / $724.44	Facility	25	$575.44	$575.44	$724.44
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $213.80 / $269.15	Professional		$173.78	$213.80	$269.15
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $173.78 / $208.93 / $257.04	Professional	25	$173.78	$208.93	$257.04
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $229.09 / $380.19	Professional		$177.83	$229.09	$380.19
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $181.97 / $245.47	Professional		$75.86	$181.97	$245.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $95.50 / $173.78	Facility		$74.13	$95.50	$173.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $123.03 / $446.68	Professional		$61.66	$123.03	$446.68
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $131.83 / $323.59	Professional	25	$79.43	$131.83	$323.59
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $109.65 / $199.53	Facility		$36.31	$109.65	$199.53
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $181.97 / $331.13	Professional		$125.89	$181.97	$331.13

New York rates for HCPCS 99204