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 $354.81 / $1,348.96 / $5,623.41	Facility		$354.81	$1,348.96	$5,623.41
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $537.03 / $1,862.09 / $7,762.47	Facility	25	$537.03	$1,862.09	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $173.78 / $416.87	Professional		$123.03	$173.78	$416.87
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $141.25 / $269.15 / $602.56	Professional	25	$141.25	$269.15	$602.56
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $257.04 / $257.04 / $645.65	Professional	25	$257.04	$257.04	$645.65
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $1,659.59 / $4,466.84	Facility		$1,659.59	$1,659.59	$4,466.84
Capital Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,715.35 / $3,715.35 / $3,715.35	Facility		$3,715.35	$3,715.35	$3,715.35
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $446.68	Professional		$154.88	$213.80	$446.68
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $1,659.59 / $4,073.80	Facility		$1,479.11	$1,659.59	$4,073.80
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $1,548.82 / $1,737.80 / $8,317.64	Facility	25	$1,548.82	$1,737.80	$8,317.64
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $181.97 / $257.04 / $380.19	Professional	25	$181.97	$257.04	$380.19
Independence Blue Cross Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $4,466.84 / $4,466.84	Facility		$912.01	$4,466.84	$4,466.84
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $181.97 / $1,258.93	Facility		$141.25	$181.97	$1,258.93
Martin's Point Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $1,819.70 / $7,943.28 / $7,943.28	Facility	25	$1,819.70	$7,943.28	$7,943.28
Oscar Health 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 Facility Modifier Typical Low / Median / Typical High $2,187.76 / $4,365.16 / $4,786.30	Facility		$2,187.76	$4,365.16	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $194.98 / $389.05	Professional		$141.25	$194.98	$389.05
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $79.43 / $89.13 / $245.47	Professional	25	$79.43	$89.13	$245.47

Pennsylvania rates for HCPCS 99285