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 $107.15 / $173.78 / $354.81	Facility		$107.15	$173.78	$354.81
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $151.36 / $331.13 / $426.58	Facility	25	$151.36	$331.13	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $177.83 / $398.11	Professional		$107.15	$177.83	$398.11
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $112.20 / $194.98 / $436.52	Professional	25	$112.20	$194.98	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $169.82 / $257.04	Professional		$114.82	$169.82	$257.04
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $131.83 / $173.78 / $245.47	Professional	25	$131.83	$173.78	$245.47
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $158.49 / $190.55	Professional		$141.25	$158.49	$190.55
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 $48.98 / $223.87 / $302.00	Professional		$48.98	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $257.04	Facility		$120.23	$158.49	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $269.15	Professional		$120.23	$165.96	$269.15
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $263.03	Facility		$54.95	$54.95	$263.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $354.81	Professional		$77.62	$104.71	$354.81
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $158.49	Facility		$134.90	$134.90	$158.49
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $190.55 / $302.00	Professional		$134.90	$190.55	$302.00
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $331.13 / $416.87	Facility		$102.33	$331.13	$416.87
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $295.12 / $323.59 / $331.13	Facility	25	$295.12	$323.59	$331.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $177.83 / $257.04	Professional		$134.90	$177.83	$257.04
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $141.25 / $169.82 / $229.09	Professional	25	$141.25	$169.82	$229.09
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $177.83 / $2,344.23	Facility		$138.04	$177.83	$2,344.23
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $158.49 / $190.55	Professional		$141.25	$158.49	$190.55
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $138.04 / $263.03	Facility		$107.15	$138.04	$263.03
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $147.91 / $263.03	Professional		$107.15	$147.91	$263.03
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $173.78 / $208.93	Professional		$89.13	$173.78	$208.93
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $363.08	Facility		$112.20	$229.09	$363.08
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $263.03 / $371.54	Professional		$112.20	$263.03	$371.54
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $162.18 / $416.87	Facility		$66.07	$162.18	$416.87
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $75.86 / $181.97	Professional		$33.11	$75.86	$181.97
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $162.18 / $295.12	Professional		$100.00	$162.18	$295.12
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $97.72 / $323.59	Professional	25	$79.43	$97.72	$323.59

Pennsylvania rates for HCPCS 99204