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 $144.54 / $208.93 / $446.68	Facility		$144.54	$208.93	$446.68
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $199.53 / $331.13 / $457.09	Facility	25	$199.53	$331.13	$457.09
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $234.42 / $575.44	Professional		$144.54	$234.42	$575.44
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $165.96 / $281.84 / $676.08	Professional	25	$165.96	$281.84	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $229.09 / $346.74	Professional		$158.49	$229.09	$346.74
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $177.83 / $229.09 / $288.40	Professional	25	$177.83	$229.09	$288.40
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $204.17 / $234.42	Professional		$190.55	$204.17	$234.42
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 $199.53 / $234.42 / $234.42	Professional		$199.53	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $281.84	Facility		$120.23	$158.49	$281.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $218.78 / $354.81	Professional		$162.18	$218.78	$354.81
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $114.82 / $467.74	Professional		$95.50	$114.82	$467.74
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $199.53	Facility		$165.96	$165.96	$199.53
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $257.04 / $398.11	Professional		$165.96	$257.04	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $457.09 / $794.33	Facility		$309.03	$457.09	$794.33
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $83.18 / $380.19 / $501.19	Facility	25	$83.18	$380.19	$501.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $229.09 / $338.84	Professional		$177.83	$229.09	$338.84
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $181.97 / $218.78 / $295.12	Professional	25	$181.97	$218.78	$295.12
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $186.21 / $4,168.69	Facility		$186.21	$186.21	$4,168.69
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $234.42 / $251.19	Professional		$190.55	$234.42	$251.19
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $354.81	Facility		$144.54	$181.97	$354.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $354.81	Professional		$141.25	$194.98	$354.81
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $229.09 / $263.03	Professional		$104.71	$229.09	$263.03
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $186.21	Facility		$158.49	$158.49	$186.21
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $354.81 / $457.09	Professional		$186.21	$354.81	$457.09
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $177.83 / $309.03	Facility		$81.28	$177.83	$309.03
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $81.28 / $218.78	Professional		$38.90	$81.28	$218.78
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $204.17 / $363.08	Professional		$128.82	$204.17	$363.08
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $75.86 / $89.13 / $457.09	Professional	25	$75.86	$89.13	$457.09

Pennsylvania rates for HCPCS 99205