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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $144.54 / $251.19	Facility	$64.57	$144.54	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $79.43 / $151.36	Professional	$61.66	$79.43	$151.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $85.11 / $89.13	Professional	$69.18	$85.11	$89.13
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $112.20	Professional	$97.72	$97.72	$112.20
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 $74.13 / $89.13 / $144.54	Professional	$74.13	$89.13	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility	$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $97.72 / $154.88	Professional	$67.61	$97.72	$154.88
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $138.04 / $138.04	Facility	$138.04	$138.04	$138.04
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $131.83 / $177.83	Professional	$89.13	$131.83	$177.83
Geisinger Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $83.18 / $128.82	Professional	$70.79	$83.18	$128.82
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $93.33 / $104.71	Professional	$89.13	$93.33	$104.71
Independence Blue Cross Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $112.20	Professional	$97.72	$97.72	$112.20
Martin's Point Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $77.62 / $251.19	Facility	$64.57	$77.62	$251.19
Martin's Point Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $81.28 / $154.88	Professional	$61.66	$81.28	$154.88
Oscar Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Facility	$22.91	$22.91	$22.91
Oscar Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $128.82 / $218.78	Professional	$22.91	$128.82	$218.78
UPMC Health Plan Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $85.11 / $338.84	Facility	$13.49	$85.11	$338.84
UPMC Health Plan Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.49 / $85.11 / $112.20	Professional	$13.49	$85.11	$112.20
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Facility	$114.82	$114.82	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $151.36	Professional	$67.61	$91.20	$151.36

Pennsylvania rates for HCPCS 99403