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 $77.62 / $144.54 / $371.54	Facility		$77.62	$144.54	$371.54
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $93.33 / $199.53 / $501.19	Facility	25	$93.33	$199.53	$501.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $120.23 / $269.15	Professional		$61.66	$120.23	$269.15
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $61.66 / $125.89 / $288.40	Professional	25	$61.66	$125.89	$288.40
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 $83.18 / $123.03 / $186.21	Professional		$83.18	$123.03	$186.21
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $91.20 / $128.82 / $181.97	Professional	25	$91.20	$128.82	$181.97
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $5,248.07	Facility		$100.00	$100.00	$5,248.07
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $107.15 / $134.90	Professional		$95.50	$107.15	$134.90
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 $48.98 / $165.96 / $218.78	Professional		$48.98	$165.96	$218.78
Capital Blue Cross Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $114.82 / $141.25 / $190.55	Professional	50	$114.82	$141.25	$190.55
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $151.36 / $257.04	Facility		$120.23	$151.36	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $190.55	Professional		$74.13	$112.20	$190.55
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $190.55	Facility		$54.95	$54.95	$190.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $46.77 / $234.42	Professional		$42.66	$46.77	$234.42
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
Geisinger Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $102.33	Facility		$85.11	$85.11	$102.33
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $141.25 / $223.87	Professional		$85.11	$141.25	$223.87
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $173.78 / $398.11	Facility		$117.49	$173.78	$398.11
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $154.88 / $213.80 / $257.04	Facility	25	$154.88	$213.80	$257.04
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $134.90 / $199.53	Professional		$100.00	$134.90	$199.53
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $102.33 / $131.83 / $194.98	Professional	25	$102.33	$131.83	$194.98
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $100.00 / $5,011.87	Facility		$100.00	$100.00	$5,011.87
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $114.82 / $134.90	Professional		$95.50	$114.82	$134.90
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $100.00 / $186.21	Facility		$77.62	$100.00	$186.21
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $102.33 / $177.83	Professional		$74.13	$102.33	$177.83
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $123.03 / $162.18	Professional		$52.48	$123.03	$162.18
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $169.82 / $446.68	Facility		$63.10	$169.82	$446.68
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $190.55 / $257.04	Professional		$63.10	$190.55	$257.04
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $95.50 / $190.55	Facility		$33.11	$95.50	$190.55
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $75.86 / $190.55	Professional		$33.11	$75.86	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $102.33 / $190.55	Professional		$64.57	$102.33	$190.55
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $199.53	Professional	25	$70.79	$89.13	$199.53

Pennsylvania rates for HCPCS 99214