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 $616.60 / $3,890.45 / $12,022.64	Facility		$616.60	$3,890.45	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,318.26 / $3,311.31 / $16,982.44	Facility	50	$1,318.26	$3,311.31	$16,982.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $1,548.82 / $4,786.30	Professional		$190.55	$1,548.82	$4,786.30
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $309.03 / $4,073.80 / $6,165.95	Professional	50	$309.03	$4,073.80	$6,165.95
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $5,495.41 / $12,882.50	Facility		$3,388.44	$5,495.41	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,445.44 / $1,819.70 / $5,754.40	Professional		$1,445.44	$1,819.70	$5,754.40
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,187.76 / $2,754.23 / $8,511.38	Professional	50	$2,187.76	$2,754.23	$8,511.38
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $1,698.24 / $6,165.95	Facility		$251.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $2,691.53	Professional		$251.19	$251.19	$2,691.53
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 Professional Modifier Typical Low / Median / Typical High $234.42 / $1,174.90 / $6,918.31	Professional		$234.42	$1,174.90	$6,918.31
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $204.17 / $588.84	Facility		$162.18	$204.17	$588.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,862.09 / $2,344.23 / $3,311.31	Professional		$1,862.09	$2,344.23	$3,311.31
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,479.11 / $2,137.96 / $4,168.69	Professional		$1,479.11	$2,137.96	$4,168.69
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $11,481.54 / $11,481.54 / $14,125.38	Facility	50	$11,481.54	$11,481.54	$14,125.38
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $50,118.72 / $75,857.76	Facility		$354.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $2,454.71 / $4,073.80	Professional		$398.11	$2,454.71	$4,073.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $4,897.79 / $11,481.54	Facility		$2,344.23	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $1,659.59 / $4,570.88	Professional		$158.49	$1,659.59	$4,570.88
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $194.98 / $380.19	Facility		$144.54	$194.98	$380.19
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $1,862.09 / $3,311.31	Professional		$380.19	$1,862.09	$3,311.31

New York rates for HCPCS 31296