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 $954.99 / $3,801.89 / $10,715.19	Facility	$954.99	$3,801.89	$10,715.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $870.96 / $1,698.24	Professional	$645.65	$870.96	$1,698.24
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 $645.65 / $758.58 / $1,621.81	Professional	$645.65	$758.58	$1,621.81
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $933.25 / $2,398.83 / $10,964.78	Facility	$933.25	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $933.25 / $933.25 / $1,202.26	Professional	$933.25	$933.25	$1,202.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $2,290.87 / $50,118.72	Facility	$1,148.15	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $630.96 / $1,096.48 / $2,511.89	Professional	$630.96	$1,096.48	$2,511.89
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $794.33 / $2,137.96	Facility	$524.81	$794.33	$2,137.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $977.24 / $1,258.93 / $1,905.46	Professional	$977.24	$1,258.93	$1,905.46
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 $691.83 / $1,148.15 / $1,819.70	Professional	$691.83	$1,148.15	$1,819.70
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,949.84 / $1,949.84 / $7,244.36	Facility	$1,949.84	$1,949.84	$7,244.36
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $707.95 / $50,118.72 / $75,857.76	Facility	$707.95	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,096.48 / $2,290.87	Professional	$398.11	$1,096.48	$2,290.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $3,981.07 / $9,549.93	Facility	$1,862.09	$3,981.07	$9,549.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,318.26 / $3,467.37	Professional	$645.65	$1,318.26	$3,467.37
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $549.54 / $812.83 / $2,398.83	Facility	$549.54	$812.83	$2,398.83
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $691.83 / $1,071.52 / $1,949.84	Professional	$691.83	$1,071.52	$1,949.84

New York rates for HCPCS 42260