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 $398.11 / $1,380.38 / $5,495.41	Facility		$398.11	$1,380.38	$5,495.41
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $741.31 / $1,318.26 / $5,011.87	Facility	25	$741.31	$1,318.26	$5,011.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $125.89 / $398.11	Professional		$87.10	$125.89	$398.11
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $97.72 / $223.87 / $537.03	Professional	25	$97.72	$223.87	$537.03
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $117.49 / $263.03	Professional		$100.00	$117.49	$263.03
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $100.00 / $147.91 / $208.93	Professional	25	$100.00	$147.91	$208.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $120.23 / $281.84	Professional		$97.72	$120.23	$281.84
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $173.78	Professional		$173.78	$173.78	$173.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $181.97 / $436.52	Professional		$102.33	$181.97	$436.52
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $288.40	Facility		$34.67	$41.69	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $177.83 / $263.03	Professional		$125.89	$177.83	$263.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $147.91 / $251.19	Professional		$93.33	$147.91	$251.19
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional	25	$144.54	$144.54	$144.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $186.21 / $602.56	Professional		$144.54	$186.21	$602.56
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $123.03 / $186.21 / $467.74	Professional	25	$123.03	$186.21	$467.74
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $169.82 / $316.23	Professional		$138.04	$169.82	$316.23
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $138.04 / $165.96	Professional		$102.33	$138.04	$165.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,778.28 / $3,019.95 / $3,801.89	Facility		$1,778.28	$3,019.95	$3,801.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $204.17 / $398.11	Professional		$112.20	$204.17	$398.11
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $89.13 / $173.78	Professional	25	$64.57	$89.13	$173.78
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $147.91 / $288.40	Professional		$97.72	$147.91	$288.40

New York rates for HCPCS 99284