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 $21.88 / $35.48 / $131.83	Facility		$21.88	$35.48	$131.83
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $47.86 / $72.44 / $72.44	Facility	25	$47.86	$72.44	$72.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $27.54 / $58.88	Professional		$20.89	$27.54	$58.88
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $25.12 / $58.88 / $95.50	Professional	25	$25.12	$58.88	$95.50
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $25.70 / $34.67	Professional		$21.88	$25.70	$34.67
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $21.88 / $28.18 / $31.62	Professional	25	$21.88	$28.18	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.79 / $40.74 / $57.54	Professional		$0.79	$40.74	$57.54
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $40.74	Professional		$36.31	$36.31	$40.74
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $38.02 / $38.02	Facility		$33.11	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $36.31 / $69.18	Professional		$22.39	$36.31	$69.18
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $30.20	Facility		$0.10	$0.10	$30.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $19.05 / $53.70	Professional		$19.05	$19.05	$53.70
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $26.92 / $38.90	Facility		$25.70	$26.92	$38.90
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $29.51 / $54.95	Professional		$19.05	$29.51	$54.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $66.07	Professional		$29.51	$37.15	$66.07
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $37.15 / $37.15 / $56.23	Professional	25	$37.15	$37.15	$56.23
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $40.74 / $69.18	Professional		$33.11	$40.74	$69.18
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $22.91 / $104.71	Facility		$21.88	$22.91	$104.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $40.74 / $117.49	Professional		$25.12	$40.74	$117.49
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $23.99 / $54.95	Facility		$12.59	$23.99	$54.95
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $31.62 / $57.54	Professional		$19.05	$31.62	$57.54

New York rates for HCPCS 99407