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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $2,630.27 / $7,762.47	Facility	$158.49	$2,630.27	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $154.88 / $323.59	Professional	$107.15	$154.88	$323.59
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $144.54	Professional	$48.98	$48.98	$144.54
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,677.35 / $9,549.93	Facility	$2,630.27	$4,677.35	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $281.84	Professional	$131.83	$154.88	$281.84
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $4,073.80	Facility	$151.36	$151.36	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $151.36 / $208.93	Professional	$151.36	$151.36	$208.93
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $186.21 / $50,118.72	Facility	$34.67	$186.21	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $199.53 / $524.81	Professional	$114.82	$199.53	$524.81
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $120.23 / $269.15	Facility	$54.95	$120.23	$269.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $323.59	Professional	$173.78	$223.87	$323.59
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $134.90	Facility	$134.90	$134.90	$134.90
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $186.21 / $309.03	Professional	$120.23	$186.21	$309.03
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $50,118.72 / $75,857.76	Facility	$112.20	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $257.04 / $398.11	Professional	$173.78	$257.04	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,467.37 / $7,244.36	Facility	$1,584.89	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $218.78 / $478.63	Professional	$112.20	$218.78	$478.63
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $426.58	Facility	$91.20	$131.83	$426.58
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $309.03	Professional	$120.23	$173.78	$309.03

New York rates for HCPCS 42100