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 $323.59 / $3,090.30 / $8,912.51	Facility	$323.59	$3,090.30	$8,912.51
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $316.23 / $676.08	Professional	$218.78	$316.23	$676.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $562.34	Professional	$281.84	$281.84	$562.34
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $10,232.93	Facility	$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $275.42 / $575.44	Professional	$234.42	$275.42	$575.44
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $1,698.24 / $6,165.95	Facility	$316.23	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $426.58	Professional	$316.23	$316.23	$426.58
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $389.05 / $1,659.59 / $50,118.72	Facility	$389.05	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $398.11 / $912.01	Professional	$234.42	$398.11	$912.01
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $263.03 / $707.95	Facility	$173.78	$263.03	$707.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $457.09 / $691.83	Professional	$354.81	$457.09	$691.83
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $281.84	Facility	$281.84	$281.84	$281.84
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $380.19 / $645.65	Professional	$251.19	$380.19	$645.65
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $2,041.74 / $2,041.74	Facility	$2,041.74	$2,041.74	$2,041.74
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $50,118.72 / $75,857.76	Facility	$234.42	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $371.54 / $407.38 / $812.83	Professional	$371.54	$407.38	$812.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $3,467.37 / $7,244.36	Facility	$1,659.59	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $467.74 / $1,174.90	Professional	$229.09	$467.74	$1,174.90
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $275.42 / $794.33	Facility	$186.21	$275.42	$794.33
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $363.08 / $645.65	Professional	$251.19	$363.08	$645.65

New York rates for HCPCS 42405