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 $56.23 / $117.49 / $467.74	Facility		$56.23	$117.49	$467.74
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $95.50 / $295.12 / $831.76	Facility	25	$95.50	$295.12	$831.76
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $120.23 / $295.12	Professional		$57.54	$120.23	$295.12
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $61.66 / $131.83 / $331.13	Professional	25	$61.66	$131.83	$331.13
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $95.50 / $95.50 / $234.42	Professional	50	$95.50	$95.50	$234.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $112.20 / $151.36	Professional		$77.62	$112.20	$151.36
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $85.11 / $123.03 / $154.88	Professional	25	$85.11	$123.03	$154.88
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $912.01 / $977.24	Facility		$812.83	$912.01	$977.24
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $74.13 / $169.82	Professional		$0.79	$74.13	$169.82
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $141.25 / $141.25	Facility		$128.82	$141.25	$141.25
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $181.97	Professional		$141.25	$141.25	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $151.36 / $245.47	Facility		$95.50	$151.36	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $138.04 / $275.42	Professional		$79.43	$138.04	$275.42
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $102.33	Facility		$0.10	$0.10	$102.33
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 $46.77 / $53.70 / $213.80	Professional		$46.77	$53.70	$213.80
Emblem Health Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $46.77 / $46.77 / $46.77	Professional	25	$46.77	$46.77	$46.77
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $38.02 / $144.54	Facility		$36.31	$38.02	$144.54
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $257.04	Professional		$91.20	$131.83	$257.04
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $123.03 / $173.78	Professional		$70.79	$123.03	$173.78
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $74.13 / $114.82 / $173.78	Professional	25	$74.13	$114.82	$173.78
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $213.80 / $467.74	Facility		$12.30	$213.80	$467.74
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $50.12 / $213.80 / $562.34	Facility	25	$50.12	$213.80	$562.34
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $134.90 / $239.88	Professional		$120.23	$134.90	$239.88
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $112.20 / $128.82 / $177.83	Professional	25	$112.20	$128.82	$177.83
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $281.84	Professional		$117.49	$151.36	$281.84
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $125.89 / $165.96	Professional		$56.23	$125.89	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $81.28 / $114.82	Facility		$54.95	$81.28	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $79.43 / $263.03	Professional		$30.90	$79.43	$263.03
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $75.86 / $131.83 / $199.53	Professional	25	$75.86	$131.83	$199.53
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $66.07 / $144.54	Facility		$36.31	$66.07	$144.54
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $138.04 / $245.47	Professional		$95.50	$138.04	$245.47

New York rates for HCPCS 99214