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 $48.98 / $91.20 / $457.09	Facility		$48.98	$91.20	$457.09
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $60.26 / $251.19 / $562.34	Facility	25	$60.26	$251.19	$562.34
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $87.10 / $199.53	Professional		$51.29	$87.10	$199.53
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $52.48 / $91.20 / $223.87	Professional	25	$52.48	$91.20	$223.87
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $257.04 / $263.03 / $269.15	Professional	50	$257.04	$263.03	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $81.28 / $107.15	Professional		$54.95	$81.28	$107.15
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $63.10 / $87.10 / $107.15	Professional	25	$63.10	$87.10	$107.15
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $489.78 / $549.54	Facility		$302.00	$489.78	$549.54
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $56.23 / $117.49	Professional		$0.79	$56.23	$117.49
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $128.82	Facility		$95.50	$95.50	$128.82
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $95.50 / $128.82	Professional		$95.50	$95.50	$128.82
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $109.65 / $245.47	Facility		$60.26	$109.65	$245.47
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Facility	22	$123.03	$123.03	$123.03
Cigna Facility/Professional Facility Modifier 62 Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Facility	62	$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier AS Typical Low / Median / Typical High $10.23 / $10.23 / $10.23	Facility	AS	$10.23	$10.23	$10.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $93.33 / $186.21	Professional		$54.95	$93.33	$186.21
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $69.18	Facility		$0.10	$0.10	$69.18
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 $40.74 / $50.12 / $141.25	Professional		$40.74	$50.12	$141.25
Emblem Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $40.74 / $40.74 / $154.88	Professional	25	$40.74	$40.74	$154.88
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $37.15 / $102.33	Facility		$36.31	$37.15	$102.33
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $91.20 / $181.97	Professional		$58.88	$91.20	$181.97
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $81.28 / $134.90	Professional		$46.77	$81.28	$134.90
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $51.29 / $87.10 / $123.03	Professional	25	$51.29	$87.10	$123.03
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $223.87 / $234.42	Facility		$50.12	$223.87	$234.42
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $50.12 / $223.87 / $398.11	Facility	25	$50.12	$223.87	$398.11
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $93.33 / $169.82	Professional		$81.28	$93.33	$169.82
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $81.28 / $93.33 / $144.54	Professional	25	$81.28	$93.33	$144.54
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $104.71 / $199.53	Professional		$81.28	$104.71	$199.53
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $89.13 / $117.49	Professional		$41.69	$89.13	$117.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $58.88 / $77.62	Facility		$33.88	$58.88	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $53.70 / $186.21	Professional		$44.67	$53.70	$186.21
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $95.50 / $144.54	Professional	25	$79.43	$95.50	$144.54
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $54.95 / $102.33	Facility		$25.12	$54.95	$102.33
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $100.00 / $165.96	Professional		$64.57	$100.00	$165.96

New York rates for HCPCS 99213