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 $1,288.25 / $5,248.07 / $12,302.69	Facility	$1,288.25	$5,248.07	$12,302.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,071.52 / $2,344.23	Professional	$891.25	$1,071.52	$2,344.23
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,890.45 / $7,762.47 / $13,803.84	Facility	$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $954.99 / $1,949.84	Professional	$812.83	$954.99	$1,949.84
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $12,302.69	Facility	$1,412.54	$1,412.54	$12,302.69
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,412.54 / $1,412.54 / $1,412.54	Professional	$1,412.54	$1,412.54	$1,412.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $1,621.81 / $50,118.72	Facility	$34.67	$1,621.81	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $1,348.96 / $3,467.37	Professional	$758.58	$1,348.96	$3,467.37
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $831.76 / $1,288.25 / $3,467.37	Facility	$831.76	$1,288.25	$3,467.37
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,122.02 / $1,479.11 / $2,238.72	Professional	$1,122.02	$1,479.11	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $912.01 / $912.01 / $912.01	Facility	$912.01	$912.01	$912.01
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $812.83 / $1,258.93 / $2,041.74	Professional	$812.83	$1,258.93	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,047.13 / $50,118.72 / $75,857.76	Facility	$1,047.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,288.25 / $2,570.40	Professional	$398.11	$1,288.25	$2,570.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $5,248.07 / $12,589.25	Facility	$2,290.87	$5,248.07	$12,589.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $954.99 / $1,584.89 / $7,079.46	Professional	$954.99	$1,584.89	$7,079.46
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $1,174.90 / $4,168.69	Facility	$794.33	$1,174.90	$4,168.69
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $1,174.90 / $2,630.27	Professional	$794.33	$1,174.90	$2,630.27

New York rates for HCPCS 42225