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 $323.59 / $2,951.21 / $7,762.47	Facility	$323.59	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $338.84 / $724.44	Professional	$194.98	$338.84	$724.44
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 $239.88 / $316.23 / $812.83	Professional	$239.88	$316.23	$812.83
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $1,698.24 / $6,165.95	Facility	$309.03	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $549.54	Professional	$309.03	$309.03	$549.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $3,235.94 / $53,703.18	Facility	$371.54	$3,235.94	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $416.87 / $912.01	Professional	$213.80	$416.87	$912.01
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $707.95	Facility	$173.78	$263.03	$707.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $851.14	Professional	$398.11	$549.54	$851.14
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $407.38 / $707.95	Professional	$269.15	$407.38	$707.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,995.26 / $1,995.26 / $1,995.26	Facility	$1,995.26	$1,995.26	$1,995.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $380.19 / $380.19	Professional	$380.19	$380.19	$380.19
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $50,118.72 / $75,857.76	Facility	$371.54	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $446.68 / $562.34	Professional	$398.11	$446.68	$562.34
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 $158.49 / $346.74 / $851.14	Professional	$158.49	$346.74	$851.14
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $741.31	Facility	$177.83	$234.42	$741.31
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $436.52 / $891.25	Professional	$269.15	$436.52	$891.25

New York rates for HCPCS 12054