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 $741.31 / $5,623.41 / $15,135.61	Facility	$741.31	$5,623.41	$15,135.61
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $524.81 / $741.31 / $1,659.59	Professional	$524.81	$741.31	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,073.80 / $7,762.47 / $13,803.84	Facility	$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $741.31 / $1,905.46	Professional	$588.84	$741.31	$1,905.46
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $3,467.37 / $13,489.63	Facility	$794.33	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $1,023.29	Professional	$794.33	$794.33	$1,023.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $3,090.30 / $50,118.72	Facility	$954.99	$3,090.30	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $588.84 / $1,000.00 / $2,630.27	Professional	$588.84	$1,000.00	$2,630.27
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $831.76 / $1,949.84	Facility	$588.84	$831.76	$1,949.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,202.26 / $1,659.59	Professional	$794.33	$1,202.26	$1,659.59
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $691.83 / $691.83	Facility	$691.83	$691.83	$691.83
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $954.99 / $1,548.82	Professional	$602.56	$954.99	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,073.80 / $7,585.78 / $17,782.79	Facility	$4,073.80	$7,585.78	$17,782.79
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $602.56 / $50,118.72 / $75,857.76	Facility	$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $954.99 / $1,995.26	Professional	$398.11	$954.99	$1,995.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,467.37 / $8,912.51	Facility	$1,862.09	$3,467.37	$8,912.51
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $891.25 / $2,630.27	Professional	$537.03	$891.25	$2,630.27
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $691.83 / $2,398.83	Facility	$467.74	$691.83	$2,398.83
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $602.56 / $891.25 / $1,819.70	Professional	$602.56	$891.25	$1,819.70

New York rates for HCPCS 21235