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 $61.66 / $97.72 / $446.68	Facility		$61.66	$97.72	$446.68
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $478.63 / $478.63 / $478.63	Facility	25	$478.63	$478.63	$478.63
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $81.28 / $177.83	Professional		$58.88	$81.28	$177.83
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $60.26 / $83.18 / $194.98	Professional	25	$60.26	$83.18	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $72.44 / $89.13	Professional		$54.95	$72.44	$89.13
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $56.23 / $72.44 / $87.10	Professional	25	$56.23	$72.44	$87.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $64.57 / $134.90	Professional		$54.95	$64.57	$134.90
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $109.65 / $120.23	Professional		$109.65	$109.65	$120.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $114.82 / $114.82	Facility		$100.00	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $112.20 / $213.80	Professional		$67.61	$112.20	$213.80
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $83.18	Facility		$0.10	$0.10	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $181.97	Professional		$97.72	$123.03	$181.97
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $77.62 / $91.20	Facility		$77.62	$77.62	$91.20
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $177.83	Professional		$67.61	$91.20	$177.83
Fidelis Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Professional	25	$93.33	$93.33	$93.33
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $112.20 / $151.36	Professional		$93.33	$112.20	$151.36
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $81.28 / $112.20 / $204.17	Professional	25	$81.28	$112.20	$204.17
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $117.49 / $186.21	Professional		$97.72	$117.49	$186.21
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $89.13 / $281.84	Facility		$79.43	$89.13	$281.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $120.23 / $316.23	Professional		$72.44	$120.23	$316.23
United Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $95.50 / $100.00 / $100.00	Professional	25	$95.50	$100.00	$100.00
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $72.44 / $123.03	Facility		$66.07	$72.44	$123.03
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $173.78	Professional		$67.61	$91.20	$173.78

New York rates for HCPCS 99497