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 $67.61 / $1,479.11 / $7,244.36	Facility		$67.61	$1,479.11	$7,244.36
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $251.19 / $891.25 / $7,943.28	Facility	50	$251.19	$891.25	$7,943.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $81.28 / $204.17	Professional		$44.67	$81.28	$204.17
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $128.82 / $281.84	Professional	50	$67.61	$128.82	$281.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $63.10 / $77.62	Professional		$45.71	$63.10	$77.62
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $97.72 / $114.82	Professional	50	$72.44	$97.72	$114.82
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 $53.70 / $67.61 / $169.82	Professional		$53.70	$67.61	$169.82
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $77.62 / $97.72 / $239.88	Professional	50	$77.62	$97.72	$239.88
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $6,165.95	Facility		$64.57	$64.57	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $91.20	Professional		$64.57	$64.57	$91.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $77.62 / $53,703.18	Facility		$34.67	$77.62	$53,703.18
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	52	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $87.10 / $251.19	Professional		$51.29	$87.10	$251.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $48.98 / $154.88	Facility		$39.81	$48.98	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $114.82 / $371.54	Professional		$74.13	$114.82	$371.54
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $85.11 / $138.04	Professional		$53.70	$85.11	$138.04
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $74.13 / $117.49	Professional		$64.57	$74.13	$117.49
Fidelis Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	50	$154.88	$154.88	$154.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $323.59 / $1,202.26	Facility		$81.28	$323.59	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $50.12 / $457.09 / $912.01	Facility	50	$50.12	$457.09	$912.01
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $112.20	Professional		$63.10	$83.18	$112.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $128.82 / $128.82	Professional	50	$91.20	$128.82	$128.82
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $50,118.72 / $75,857.76	Facility		$52.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $109.65 / $398.11	Professional		$72.44	$109.65	$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 $44.67 / $83.18 / $346.74	Professional		$44.67	$83.18	$346.74
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	50	$85.11	$85.11	$85.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $53.70 / $234.42	Facility		$37.15	$53.70	$234.42
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $77.62 / $162.18	Professional		$52.48	$77.62	$162.18

New York rates for HCPCS 20610