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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $1,513.56 / $7,413.10	Facility	$72.44	$1,513.56	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $131.83 / $323.59	Professional	$44.67	$131.83	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $117.49 / $123.03	Professional	$109.65	$117.49	$123.03
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 $112.20 / $138.04 / $309.03	Professional	$112.20	$138.04	$309.03
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $4,073.80	Facility	$67.61	$67.61	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $181.97	Professional	$67.61	$67.61	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $79.43 / $53,703.18	Facility	$34.67	$79.43	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $123.03 / $302.00	Professional	$51.29	$123.03	$302.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $128.82	Facility	$30.20	$47.86	$128.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $338.84	Professional	$125.89	$169.82	$338.84
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $229.09	Professional	$97.72	$123.03	$229.09
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $1,174.90 / $2,884.03	Facility	$75.86	$1,174.90	$2,884.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $229.09	Professional	$114.82	$147.91	$229.09
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $50,118.72 / $75,857.76	Facility	$58.88	$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 $1,071.52 / $2,398.83 / $4,897.79	Facility	$1,071.52	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $102.33 / $257.04	Professional	$33.88	$102.33	$257.04
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $61.66	Facility	$30.90	$50.12	$61.66
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $114.82 / $229.09	Professional	$57.54	$114.82	$229.09

New York rates for HCPCS 11104