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 $81.28 / $154.88 / $489.78	Facility		$81.28	$154.88	$489.78
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $199.53 / $436.52 / $891.25	Facility	25	$199.53	$436.52	$891.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $173.78 / $436.52	Professional		$91.20	$173.78	$436.52
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $100.00 / $204.17 / $478.63	Professional	25	$100.00	$204.17	$478.63
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $165.96 / $213.80	Professional		$120.23	$165.96	$213.80
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $141.25 / $181.97 / $208.93	Professional	25	$141.25	$181.97	$208.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $812.83 / $912.01 / $1,148.15	Facility		$812.83	$912.01	$1,148.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $100.00 / $223.87	Professional		$0.79	$100.00	$223.87
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $208.93 / $208.93	Facility		$128.82	$208.93	$208.93
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $208.93 / $257.04	Professional		$208.93	$208.93	$257.04
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $186.21 / $245.47	Facility		$97.72	$186.21	$245.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $190.55 / $371.54	Professional		$117.49	$190.55	$371.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $151.36	Facility		$0.10	$0.10	$151.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $309.03	Professional		$64.57	$75.86	$309.03
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $47.86 / $309.03	Facility		$36.31	$47.86	$309.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $190.55 / $363.08	Professional		$123.03	$190.55	$363.08
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $173.78 / $302.00	Professional		$91.20	$173.78	$302.00
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $100.00 / $154.88 / $245.47	Professional	25	$100.00	$154.88	$245.47
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $275.42 / $851.14	Facility		$54.95	$275.42	$851.14
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $50.12 / $50.12 / $776.25	Facility	25	$50.12	$50.12	$776.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $186.21 / $263.03	Professional		$158.49	$186.21	$263.03
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $158.49 / $177.83 / $251.19	Professional	25	$158.49	$177.83	$251.19
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $204.17 / $398.11	Professional		$158.49	$204.17	$398.11
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $169.82 / $229.09	Professional		$81.28	$169.82	$229.09
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $154.88	Facility		$83.18	$123.03	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $117.49 / $389.05	Professional		$30.90	$117.49	$389.05
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $70.79 / $89.13 / $346.74	Professional	25	$70.79	$89.13	$346.74
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $93.33 / $234.42	Facility		$36.31	$93.33	$234.42
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $194.98 / $354.81	Professional		$125.89	$194.98	$354.81

New York rates for HCPCS 99215