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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $812.83 / $1,949.84 / $3,090.30	Professional	AA	$812.83	$1,949.84	$3,090.30
Aetna Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $426.58 / $676.08 / $1,071.52	Professional	QX	$426.58	$676.08	$1,071.52
Aetna Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $501.19 / $758.58 / $1,000.00	Professional	QY	$501.19	$758.58	$1,000.00
Aetna Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,737.80 / $2,187.76 / $2,691.53	Professional	QZ	$1,737.80	$2,187.76	$2,691.53
Ambetter Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Professional	QX	$707.95	$707.95	$707.95
Ambetter Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $707.95 / $707.95 / $707.95	Professional	QY	$707.95	$707.95	$707.95
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
Highmark BCBS Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $281.84 / $741.31 / $2,187.76	Professional	AA	$281.84	$741.31	$2,187.76
Highmark BCBS Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $741.31 / $912.01 / $933.25	Professional	QX	$741.31	$912.01	$933.25
Highmark BCBS Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $436.52 / $436.52 / $436.52	Professional	QY	$436.52	$436.52	$436.52
Highmark BCBS Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $1,071.52 / $1,071.52 / $1,071.52	Professional	QZ	$1,071.52	$1,071.52	$1,071.52
United Facility/Professional Professional Modifier AA Typical Low / Median / Typical High $79.43 / $79.43 / $416.87	Professional	AA	$79.43	$79.43	$416.87
United Facility/Professional Professional Modifier QX Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	QX	$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier QY Typical Low / Median / Typical High $416.87 / $416.87 / $416.87	Professional	QY	$416.87	$416.87	$416.87
United Facility/Professional Professional Modifier QZ Typical Low / Median / Typical High $416.87 / $416.87 / $812.83	Professional	QZ	$416.87	$416.87	$812.83

New York rates for HCPCS 01916