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 $79.43 / $158.49 / $478.63	Facility		$79.43	$158.49	$478.63
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $77.62 / $204.17 / $575.44	Facility	25	$77.62	$204.17	$575.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $131.83 / $346.74	Professional		$67.61	$131.83	$346.74
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $66.07 / $138.04 / $363.08	Professional	25	$66.07	$138.04	$363.08
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $95.50 / $95.50	Professional	50	$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $125.89 / $194.98	Professional		$81.28	$125.89	$194.98
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $89.13 / $128.82 / $194.98	Professional	25	$89.13	$128.82	$194.98
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $89.13 / $100.00	Facility		$72.44	$89.13	$100.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $107.15 / $190.55	Professional		$72.44	$107.15	$190.55
Blue Shield Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $89.13	Facility		$83.18	$83.18	$89.13
Blue Shield Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $144.54 / $288.40	Professional		$102.33	$144.54	$288.40
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $151.36 / $223.87	Facility		$120.23	$151.36	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $123.03 / $229.09	Professional		$81.28	$123.03	$229.09
Contra Costa Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $93.33 / $199.53	Professional		$37.15	$93.33	$199.53
HealthNet Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $234.42 / $467.74	Professional		$100.00	$234.42	$467.74
HealthNet Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $85.11 / $194.98 / $371.54	Professional	25	$85.11	$194.98	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $138.04 / $234.42	Professional		$83.18	$138.04	$234.42
Lucent Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $630.96 / $630.96 / $630.96	Facility		$630.96	$630.96	$630.96
Lucent Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $169.82 / $794.33	Professional		$87.10	$169.82	$794.33
Molina Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $724.44	Professional		$32.36	$51.29	$724.44
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $128.82 / $208.93	Professional		$100.00	$128.82	$208.93
Providence Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $120.23 / $199.53	Facility		$74.13	$120.23	$199.53
Providence Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $128.82 / $269.15	Professional		$81.28	$128.82	$269.15
Sutter Health Plus Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $288.40	Professional		$47.86	$75.86	$288.40
The Alliance Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $69.18 / $151.36	Professional		$37.15	$69.18	$151.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $114.82 / $158.49	Facility		$69.18	$114.82	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $102.33 / $204.17	Professional		$67.61	$102.33	$204.17
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $77.62 / $87.10 / $181.97	Professional	25	$77.62	$87.10	$181.97

California rates for HCPCS 99214