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 $95.50 / $1,122.02 / $7,585.78	Facility		$95.50	$1,122.02	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $446.68 / $794.33 / $794.33	Facility	50	$446.68	$794.33	$794.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $104.71 / $281.84	Professional		$52.48	$104.71	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $107.15 / $128.82	Professional		$57.54	$107.15	$128.82
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $125.89 / $281.84	Professional		$100.00	$125.89	$281.84
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $151.36 / $190.55 / $426.58	Professional	50	$151.36	$190.55	$426.58
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $1,698.24 / $6,165.95	Facility		$85.11	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $181.97	Professional		$85.11	$85.11	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $102.33 / $1,659.59 / $53,703.18	Facility		$102.33	$1,659.59	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $125.89 / $338.84	Professional		$58.88	$125.89	$338.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $74.13 / $213.80	Facility		$54.95	$74.13	$213.80
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $186.21 / $354.81	Professional		$134.90	$186.21	$354.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $138.04 / $239.88	Professional		$89.13	$138.04	$239.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $524.81 / $1,995.26	Facility		$52.48	$524.81	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $100.00 / $257.04	Professional		$56.23	$100.00	$257.04
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $50,118.72 / $75,857.76	Facility		$50.12	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $186.21 / $398.11	Professional		$147.91	$186.21	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,398.83 / $4,897.79	Facility		$1,000.00	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $107.15 / $275.42	Professional		$44.67	$107.15	$275.42
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $64.57 / $234.42	Facility		$48.98	$64.57	$234.42
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $144.54 / $275.42	Professional		$64.57	$144.54	$275.42

New York rates for HCPCS 11042