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 $131.83 / $208.93 / $489.78	Facility		$131.83	$208.93	$489.78
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $281.84 / $512.86 / $1,047.13	Facility	25	$281.84	$512.86	$1,047.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $616.60	Professional		$144.54	$239.88	$616.60
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $169.82 / $316.23 / $724.44	Professional	25	$169.82	$316.23	$724.44
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $208.93 / $269.15	Professional		$158.49	$208.93	$269.15
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $173.78 / $218.78 / $263.03	Professional	25	$173.78	$218.78	$263.03
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $912.01 / $1,148.15	Facility		$812.83	$912.01	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $141.25 / $295.12	Professional		$0.79	$141.25	$295.12
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $309.03	Professional		$263.03	$263.03	$309.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $199.53 / $281.84	Facility		$109.65	$199.53	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $257.04 / $489.78	Professional		$165.96	$257.04	$489.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $190.55	Facility		$0.10	$0.10	$190.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $114.82 / $380.19	Professional		$104.71	$114.82	$380.19
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $50.12 / $245.47	Facility		$36.31	$50.12	$245.47
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $234.42 / $446.68	Professional		$158.49	$234.42	$446.68
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $213.80 / $380.19	Professional		$141.25	$213.80	$380.19
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $128.82 / $177.83 / $213.80	Professional	25	$128.82	$177.83	$213.80
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $954.99 / $954.99	Facility		$288.40	$954.99	$954.99
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $257.04 / $354.81	Professional		$218.78	$257.04	$354.81
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $218.78 / $257.04 / $302.00	Professional	25	$218.78	$257.04	$302.00
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $288.40 / $489.78	Professional		$223.87	$288.40	$489.78
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $229.09 / $316.23	Professional		$91.20	$229.09	$316.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $123.03 / $218.78	Facility		$91.20	$123.03	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $165.96 / $562.34	Professional		$30.90	$165.96	$562.34
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $91.20 / $457.09	Professional	25	$79.43	$91.20	$457.09
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $141.25 / $245.47	Facility		$36.31	$141.25	$245.47
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $239.88 / $446.68	Professional		$165.96	$239.88	$446.68

New York rates for HCPCS 99205