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 $147.91 / $3,311.31 / $8,511.38	Facility	$147.91	$3,311.31	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $165.96 / $436.52	Professional	$85.11	$165.96	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional	$131.83	$131.83	$131.83
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 $125.89 / $158.49 / $346.74	Professional	$125.89	$158.49	$346.74
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $6,165.95	Facility	$151.36	$151.36	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $229.09	Professional	$151.36	$151.36	$229.09
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $1,318.26 / $53,703.18	Facility	$181.97	$1,318.26	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $186.21 / $407.38	Professional	$100.00	$186.21	$407.38
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $123.03 / $363.08	Facility	$89.13	$123.03	$363.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $223.87 / $354.81	Professional	$162.18	$223.87	$354.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $295.12	Professional	$120.23	$173.78	$295.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $912.01 / $2,290.87	Facility	$275.42	$912.01	$2,290.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $190.55 / $213.80	Professional	$162.18	$190.55	$213.80
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $50,118.72 / $75,857.76	Facility	$109.65	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $239.88 / $398.11	Professional	$186.21	$239.88	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $2,951.21 / $5,754.40	Facility	$1,513.56	$2,951.21	$5,754.40
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $154.88 / $380.19	Professional	$77.62	$154.88	$380.19
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $117.49 / $363.08	Facility	$87.10	$117.49	$363.08
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $354.81	Professional	$120.23	$186.21	$354.81

New York rates for HCPCS 11421