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 $1,174.90 / $3,801.89 / $10,964.78	Facility	$1,174.90	$3,801.89	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $933.25 / $1,905.46	Professional	$794.33	$933.25	$1,905.46
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 $676.08 / $794.33 / $1,659.59	Professional	$676.08	$794.33	$1,659.59
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,202.26 / $12,302.69	Facility	$1,202.26	$1,202.26	$12,302.69
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,202.26 / $1,202.26 / $1,202.26	Professional	$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $1,412.54 / $50,118.72	Facility	$34.67	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $676.08 / $1,174.90 / $3,019.95	Professional	$676.08	$1,174.90	$3,019.95
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $776.25 / $1,047.13 / $3,019.95	Facility	$776.25	$1,047.13	$3,019.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $891.25 / $1,174.90 / $1,778.28	Professional	$891.25	$1,174.90	$1,778.28
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	$794.33	$794.33	$794.33
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $741.31 / $1,122.02 / $1,778.28	Professional	$741.31	$1,122.02	$1,778.28
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $50,118.72 / $75,857.76	Facility	$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,096.48 / $2,238.72	Professional	$398.11	$1,096.48	$2,238.72
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 $831.76 / $1,318.26 / $6,606.93	Professional	$831.76	$1,318.26	$6,606.93
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $691.83 / $1,000.00 / $3,388.44	Facility	$691.83	$1,000.00	$3,388.44
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,071.52 / $2,187.76	Professional	$691.83	$1,071.52	$2,187.76

New York rates for HCPCS 42227