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 $54.95 / $2,511.89 / $7,585.78	Facility		$54.95	$2,511.89	$7,585.78
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,318.26 / $6,918.31 / $11,220.18	Facility	50	$1,318.26	$6,918.31	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $67.61 / $151.36	Professional		$37.15	$67.61	$151.36
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $45.71 / $57.54	Professional		$33.88	$45.71	$57.54
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 $36.31 / $46.77 / $141.25	Professional		$36.31	$46.77	$141.25
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $4,073.80	Facility		$53.70	$53.70	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $75.86	Professional		$53.70	$53.70	$75.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $61.66 / $53,703.18	Facility		$34.67	$61.66	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $74.13 / $194.98	Professional		$41.69	$74.13	$194.98
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $56.23 / $134.90	Facility		$41.69	$56.23	$134.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $83.18 / $117.49	Professional		$56.23	$83.18	$117.49
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $112.20	Professional		$45.71	$67.61	$112.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $309.03 / $954.99	Facility		$54.95	$309.03	$954.99
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $77.62 / $114.82	Professional		$53.70	$77.62	$114.82
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $50,118.72 / $75,857.76	Facility		$38.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $93.33 / $398.11	Professional		$64.57	$93.33	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $891.25 / $2,398.83 / $4,897.79	Facility		$891.25	$2,398.83	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $64.57 / $208.93	Professional		$37.15	$64.57	$208.93
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $43.65 / $162.18	Facility		$30.20	$43.65	$162.18
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $66.07 / $131.83	Professional		$43.65	$66.07	$131.83

New York rates for HCPCS 20552