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 $281.84 / $446.68 / $724.44	Facility		$281.84	$446.68	$724.44
Aetna Facility/Professional Facility Modifier QZ Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Facility	QZ	$616.60	$616.60	$616.60
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $407.38 / $831.76 / $1,412.54	Professional	AA	$407.38	$831.76	$1,412.54
Aetna Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $229.09 / $323.59 / $630.96	Professional	QK	$229.09	$323.59	$630.96
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $218.78 / $316.23 / $645.65	Professional	QX	$218.78	$316.23	$645.65
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $229.09 / $346.74 / $616.60	Professional	QY	$229.09	$346.74	$616.60
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $380.19 / $602.56 / $1,230.27	Professional	QZ	$380.19	$602.56	$1,230.27
Ambetter Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $102.33 / $117.49 / $645.65	Professional	AA	$102.33	$117.49	$645.65
Ambetter Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	QK	$51.29	$51.29	$51.29
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $51.29 / $61.66 / $72.44	Professional	QX	$51.29	$61.66	$72.44
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	QY	$52.48	$52.48	$52.48
Ambetter Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $102.33 / $123.03 / $389.05	Professional	QZ	$102.33	$123.03	$389.05
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $50,118.72 / $53,703.18	Facility		$61.66	$50,118.72	$53,703.18
Cigna Facility/Professional Facility Modifier QK Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QK	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QX Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QX	$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier QY Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility	QY	$30.90	$30.90	$30.90
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
Fidelis Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $7.94 / $7.94 / $7.94	Professional	AA	$7.94	$7.94	$7.94
Highmark BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $181.97 / $457.09 / $575.44	Professional	AA	$181.97	$457.09	$575.44
Highmark BCBS Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $190.55 / $489.78 / $645.65	Professional	QK	$190.55	$489.78	$645.65
Highmark BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $380.19 / $489.78 / $602.56	Professional	QX	$380.19	$489.78	$602.56
Highmark BCBS Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $190.55 / $416.87 / $512.86	Professional	QY	$190.55	$416.87	$512.86
Highmark BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $144.54 / $354.81 / $478.63	Professional	QZ	$144.54	$354.81	$478.63
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $60.26 / $85.11 / $630.96	Professional	AA	$60.26	$85.11	$630.96
United Facility/Professional Professional Modifier QK Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	QK	$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $85.11 / $89.13 / $281.84	Professional	QX	$85.11	$89.13	$281.84
United Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Professional	QY	$281.84	$281.84	$281.84
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $54.95 / $257.04 / $446.68	Professional	QZ	$54.95	$257.04	$446.68
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $177.83	Facility		$61.66	$61.66	$177.83

New York rates for HCPCS 00812