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 $100.00 / $2,290.87 / $7,413.10	Facility		$100.00	$2,290.87	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $199.53 / $489.78	Professional		$64.57	$199.53	$489.78
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $93.33 / $194.98 / $223.87	Professional	52	$93.33	$194.98	$223.87
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
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 $177.83 / $229.09 / $524.81	Professional		$177.83	$229.09	$524.81
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $6,165.95	Facility		$89.13	$89.13	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $275.42	Professional		$89.13	$89.13	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $1,819.70 / $53,703.18	Facility		$34.67	$1,819.70	$53,703.18
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	52	$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $269.15 / $707.95	Professional		$79.43	$269.15	$707.95
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $91.20 / $208.93	Facility		$64.57	$91.20	$208.93
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $229.09 / $389.05	Professional		$104.71	$229.09	$389.05
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $239.88 / $467.74	Professional		$162.18	$239.88	$467.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $363.08 / $1,737.80	Facility		$10.00	$363.08	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $81.28 / $50,118.72 / $75,857.76	Facility		$81.28	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $288.40 / $407.38	Professional		$223.87	$288.40	$407.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $2,454.71 / $4,897.79	Facility		$1,071.52	$2,454.71	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $151.36 / $398.11	Professional		$60.26	$151.36	$398.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $69.18 / $263.03	Facility		$52.48	$69.18	$263.03
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $204.17 / $398.11	Professional		$151.36	$204.17	$398.11

New York rates for HCPCS 31231