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 $389.05 / $3,162.28 / $10,964.78	Facility		$389.05	$3,162.28	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $912.01 / $4,466.84 / $7,762.47	Facility	50	$912.01	$4,466.84	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $407.38 / $912.01	Professional		$204.17	$407.38	$912.01
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $102.33 / $363.08 / $1,230.27	Professional	50	$102.33	$363.08	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,677.35 / $9,772.37 / $18,620.87	Facility		$4,677.35	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $398.11 / $954.99	Professional		$323.59	$398.11	$954.99
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $489.78 / $602.56 / $1,445.44	Professional	50	$489.78	$602.56	$1,445.44
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,995.26 / $8,912.51	Facility		$338.84	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $338.84 / $616.60	Professional		$338.84	$338.84	$616.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $1,862.09 / $53,703.18	Facility		$416.87	$1,862.09	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $588.84 / $1,584.89	Professional		$281.84	$588.84	$1,584.89
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $363.08 / $1,348.96	Facility		$239.88	$363.08	$1,348.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $630.96 / $912.01	Professional		$467.74	$630.96	$912.01
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $537.03 / $933.25	Professional		$251.19	$537.03	$933.25
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $2,137.96 / $22,387.21	Facility		$2,137.96	$2,137.96	$22,387.21
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,365.16 / $11,748.98 / $14,125.38	Facility	50	$4,365.16	$11,748.98	$14,125.38
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $50,118.72 / $75,857.76	Facility		$295.12	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $549.54 / $891.25	Professional		$398.11	$549.54	$891.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,981.07 / $9,772.37	Facility		$2,137.96	$3,981.07	$9,772.37
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $467.74 / $1,202.26	Professional		$218.78	$467.74	$1,202.26
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $263.03 / $1,023.29	Facility		$194.98	$263.03	$1,023.29
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $524.81 / $1,023.29	Professional		$251.19	$524.81	$1,023.29

New York rates for HCPCS 31254