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 $54.95 / $109.65 / $316.23	Facility		$54.95	$109.65	$316.23
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $97.72 / $213.80 / $575.44	Facility	25	$97.72	$213.80	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $85.11 / $181.97	Professional		$51.29	$85.11	$181.97
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $51.29 / $87.10 / $190.55	Professional	25	$51.29	$87.10	$190.55
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $257.04 / $269.15 / $269.15	Professional	50	$257.04	$269.15	$269.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $87.10 / $134.90	Professional		$56.23	$87.10	$134.90
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $89.13 / $134.90	Professional	25	$64.57	$89.13	$134.90
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $457.09	Facility		$67.61	$67.61	$457.09
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $74.13 / $95.50	Professional		$64.57	$74.13	$95.50
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 $72.44 / $114.82 / $154.88	Professional		$72.44	$114.82	$154.88
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $100.00 / $131.83	Professional	50	$81.28	$100.00	$131.83
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $257.04	Facility		$102.33	$147.91	$257.04
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 $48.98 / $75.86 / $131.83	Professional		$48.98	$75.86	$131.83
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $128.82	Facility		$54.95	$54.95	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $40.74 / $144.54	Professional		$38.02	$40.74	$144.54
Emblem Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $40.74 / $134.90 / $190.55	Professional	25	$40.74	$134.90	$190.55
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $56.23 / $67.61	Facility		$56.23	$56.23	$67.61
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $100.00 / $158.49	Professional		$54.95	$100.00	$158.49
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $147.91 / $323.59	Facility		$85.11	$147.91	$323.59
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $93.33 / $151.36 / $181.97	Facility	25	$93.33	$151.36	$181.97
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $95.50 / $141.25	Professional		$64.57	$95.50	$141.25
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $66.07 / $93.33 / $131.83	Professional	25	$66.07	$93.33	$131.83
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $549.54	Facility		$67.61	$67.61	$549.54
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $81.28 / $95.50	Professional		$64.57	$81.28	$95.50
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $70.79 / $131.83	Facility		$52.48	$70.79	$131.83
Martin's Point Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $389.05 / $389.05 / $389.05	Facility	25	$389.05	$389.05	$389.05
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $70.79 / $120.23	Professional		$50.12	$70.79	$120.23
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $85.11 / $112.20	Professional		$39.81	$85.11	$112.20
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $141.25 / $446.68	Facility		$56.23	$141.25	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $128.82 / $181.97	Professional		$56.23	$128.82	$181.97
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $64.57 / $87.10	Facility		$27.54	$64.57	$87.10
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $51.29 / $100.00	Professional		$27.54	$51.29	$100.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $72.44 / $134.90	Professional		$45.71	$72.44	$134.90
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $89.13 / $138.04	Professional	25	$79.43	$89.13	$138.04

Pennsylvania rates for HCPCS 99213