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 $204.17 / $3,162.28 / $10,964.78	Facility	$204.17	$3,162.28	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $213.80 / $467.74	Professional	$131.83	$213.80	$467.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $208.93	Professional	$194.98	$194.98	$208.93
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $9,549.93	Facility	$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $177.83 / $407.38	Professional	$151.36	$177.83	$407.38
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $6,165.95	Facility	$190.55	$190.55	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $309.03	Professional	$190.55	$190.55	$309.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $229.09 / $50,118.72	Facility	$34.67	$229.09	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $281.84 / $691.83	Professional	$147.91	$281.84	$691.83
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $144.54 / $323.59	Facility	$75.86	$144.54	$323.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $323.59 / $489.78	Professional	$251.19	$323.59	$489.78
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility	$199.53	$199.53	$199.53
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $275.42 / $457.09	Professional	$181.97	$275.42	$457.09
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $50,118.72 / $75,857.76	Facility	$346.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $380.19 / $549.54	Professional	$257.04	$380.19	$549.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,467.37 / $7,943.28	Facility	$1,584.89	$3,467.37	$7,943.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $316.23 / $645.65	Professional	$144.54	$316.23	$645.65
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $162.18 / $478.63	Facility	$109.65	$162.18	$478.63
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $263.03 / $436.52	Professional	$177.83	$263.03	$436.52

New York rates for HCPCS 42104