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 $489.78 / $3,090.30 / $10,232.93	Facility		$489.78	$3,090.30	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,548.82 / $5,011.87 / $8,317.64	Facility	50	$1,548.82	$5,011.87	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $302.00 / $1,071.52 / $2,511.89	Professional		$302.00	$1,071.52	$2,511.89
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $117.49 / $446.68 / $2,089.30	Professional	50	$117.49	$446.68	$2,089.30
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 $1,348.96 / $1,584.89 / $3,388.44	Professional		$1,348.96	$1,584.89	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $2,041.74 / $2,398.83 / $5,128.61	Professional	50	$2,041.74	$2,398.83	$5,128.61
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $12,302.69	Facility		$446.68	$446.68	$12,302.69
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $2,238.72	Professional		$446.68	$446.68	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $549.54 / $7,762.47	Facility		$34.67	$549.54	$7,762.47
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $1,380.38 / $4,570.88	Professional		$331.13	$1,380.38	$4,570.88
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $467.74 / $1,174.90	Facility		$354.81	$467.74	$1,174.90
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,949.84 / $2,818.38 / $3,715.35	Professional		$1,949.84	$2,818.38	$3,715.35
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $2,137.96 / $3,311.31	Professional		$1,122.02	$2,137.96	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $6,606.93 / $50,118.72	Facility		$354.81	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,819.70 / $2,137.96 / $4,073.80	Professional		$1,819.70	$2,137.96	$4,073.80
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,344.23 / $4,897.79 / $10,232.93	Facility		$2,344.23	$4,897.79	$10,232.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $2,089.30 / $6,025.60	Professional		$354.81	$2,089.30	$6,025.60
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $407.38 / $645.65	Facility		$257.04	$407.38	$645.65
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,819.70 / $3,311.31	Professional		$676.08	$1,819.70	$3,311.31

New York rates for HCPCS 36225