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 $16.60 / $60.26 / $194.98	Facility		$16.60	$60.26	$194.98
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $53.70 / $91.20 / $549.54	Facility	25	$53.70	$91.20	$549.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.24 / $21.88 / $45.71	Professional		$7.24	$21.88	$45.71
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $15.85 / $30.90 / $56.23	Professional	25	$15.85	$30.90	$56.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $22.39 / $34.67	Professional		$7.59	$22.39	$34.67
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $18.62 / $22.91 / $25.12	Professional	25	$18.62	$22.91	$25.12
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $8.91	Facility		$8.91	$8.91	$8.91
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $22.39 / $23.99	Professional		$19.05	$22.39	$23.99
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 $22.39 / $33.88 / $46.77	Professional		$22.39	$33.88	$46.77
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $147.91 / $257.04	Facility		$27.54	$147.91	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $20.89 / $34.67	Professional		$8.91	$20.89	$34.67
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $16.98 / $54.95	Facility		$16.98	$16.98	$54.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $19.95 / $42.66	Professional		$15.85	$19.95	$42.66
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $22.39	Facility		$18.62	$18.62	$22.39
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $25.70 / $40.74	Professional		$18.62	$25.70	$40.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $112.20 / $154.88	Facility		$22.39	$112.20	$154.88
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $28.84 / $75.86 / $154.88	Facility	25	$28.84	$75.86	$154.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $25.12 / $36.31	Professional		$13.80	$25.12	$36.31
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $18.62 / $22.91 / $25.70	Professional	25	$18.62	$22.91	$25.70
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $8.91 / $25.12	Facility		$8.91	$8.91	$25.12
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $22.39 / $25.12	Professional		$19.05	$22.39	$25.12
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $18.20 / $39.81	Facility		$7.08	$18.20	$39.81
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $19.05 / $35.48	Professional		$7.08	$19.05	$35.48
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $25.70 / $41.69	Professional		$22.91	$25.70	$41.69
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $158.49	Facility		$22.91	$22.91	$158.49
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $46.77	Professional		$22.91	$37.15	$46.77
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.90 / $16.60 / $28.18	Facility		$4.90	$16.60	$28.18
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $16.60 / $44.67	Professional		$7.08	$16.60	$44.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.32 / $20.42 / $41.69	Professional		$8.32	$20.42	$41.69
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $24.55 / $28.84 / $79.43	Professional	25	$24.55	$28.84	$79.43

Pennsylvania rates for HCPCS 99211