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 $81.28 / $3,019.95 / $7,413.10	Facility	$81.28	$3,019.95	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $95.50 / $194.98	Professional	$51.29	$95.50	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $5,011.87	Facility	$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $97.72 / $199.53	Professional	$81.28	$97.72	$199.53
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $4,073.80	Facility	$74.13	$74.13	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $144.54	Professional	$74.13	$74.13	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $89.13 / $50,118.72	Facility	$34.67	$89.13	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $128.82 / $380.19	Professional	$60.26	$128.82	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $64.57 / $181.97	Facility	$52.48	$64.57	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $141.25 / $208.93	Professional	$109.65	$141.25	$208.93
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	$87.10	$87.10	$87.10
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $123.03 / $199.53	Professional	$83.18	$123.03	$199.53
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $2,238.72 / $2,290.87	Facility	$977.24	$2,238.72	$2,290.87
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $50,118.72 / $75,857.76	Facility	$61.66	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $181.97 / $398.11	Professional	$123.03	$181.97	$398.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,884.03 / $5,248.07	Facility	$1,348.96	$2,884.03	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $141.25 / $371.54	Professional	$58.88	$141.25	$371.54
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $42.66 / $63.10 / $239.88	Facility	$42.66	$63.10	$239.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $199.53	Professional	$77.62	$114.82	$199.53

New York rates for HCPCS 42400