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 $128.82 / $2,951.21 / $9,549.93	Facility		$128.82	$2,951.21	$9,549.93
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $4,677.35 / $6,456.54 / $10,471.29	Facility	50	$4,677.35	$6,456.54	$10,471.29
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $128.82 / $398.11	Professional		$66.07	$128.82	$398.11
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Professional		$251.19	$251.19	$251.19
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $190.55 / $354.81	Professional		$154.88	$190.55	$354.81
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $97.72 / $1,258.93 / $4,073.80	Facility		$97.72	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $97.72 / $173.78	Professional		$97.72	$97.72	$173.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $144.54 / $3,801.89 / $53,703.18	Facility		$144.54	$3,801.89	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $190.55 / $501.19	Professional		$95.50	$190.55	$501.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $151.36 / $288.40	Facility		$87.10	$151.36	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $245.47 / $354.81	Professional		$177.83	$245.47	$354.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $223.87 / $436.52	Professional		$120.23	$223.87	$436.52
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,445.44 / $1,905.46 / $4,786.30	Facility		$1,445.44	$1,905.46	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $50,118.72 / $75,857.76	Facility		$79.43	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $181.97 / $398.11	Professional		$144.54	$181.97	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,467.37 / $7,244.36	Facility		$1,862.09	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $162.18 / $354.81	Professional		$74.13	$162.18	$354.81
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $91.20 / $257.04	Facility		$69.18	$91.20	$257.04
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $199.53 / $363.08	Professional		$120.23	$199.53	$363.08

New York rates for HCPCS 38505