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 $741.31 / $3,548.13 / $9,332.54	Facility		$741.31	$3,548.13	$9,332.54
Aetna Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $8,317.64	Facility	50	$1,819.70	$3,630.78	$8,317.64
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $489.78 / $1,096.48	Professional		$234.42	$489.78	$1,096.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
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 $416.87 / $524.81 / $1,148.15	Professional		$416.87	$524.81	$1,148.15
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $1,698.24 / $6,165.95	Facility		$616.60	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $4,365.16 / $53,703.18	Facility		$758.58	$4,365.16	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Facility	22	$912.01	$912.01	$912.01
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $812.83 / $1,995.26	Professional		$371.54	$812.83	$1,995.26
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $457.09 / $549.54 / $1,698.24	Facility		$457.09	$549.54	$1,698.24
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 $363.08 / $575.44 / $1,096.48	Professional		$363.08	$575.44	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $4,265.80 / $17,782.79	Facility		$1,513.56	$4,265.80	$17,782.79
Highmark BCBS Facility/Professional Facility Modifier 50 Typical Low / Median / Typical High $2,238.72 / $2,754.23 / $8,511.38	Facility	50	$2,238.72	$2,754.23	$8,511.38
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $524.81 / $891.25	Professional		$407.38	$524.81	$891.25
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $416.87 / $50,118.72 / $75,857.76	Facility		$416.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $588.84 / $933.25	Professional		$398.11	$588.84	$933.25
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,981.07 / $9,332.54	Facility		$2,137.96	$3,981.07	$9,332.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $602.56 / $1,348.96	Professional		$398.11	$602.56	$1,348.96
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $354.81 / $467.74 / $1,288.25	Facility		$354.81	$467.74	$1,288.25
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $512.86 / $1,174.90	Professional		$354.81	$512.86	$1,174.90

New York rates for HCPCS 38525