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 $1,148.15 / $4,168.69 / $10,964.78	Facility	$1,148.15	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $758.58 / $933.25 / $2,041.74	Professional	$758.58	$933.25	$2,041.74
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 $616.60 / $724.44 / $1,621.81	Professional	$616.60	$724.44	$1,621.81
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,174.90 / $2,398.83 / $10,964.78	Facility	$1,174.90	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,174.90 / $1,174.90 / $1,174.90	Professional	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,380.38 / $2,290.87 / $50,118.72	Facility	$1,380.38	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $645.65 / $1,174.90 / $2,951.21	Professional	$645.65	$1,174.90	$2,951.21
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $1,096.48 / $2,754.23	Facility	$851.14	$1,096.48	$2,754.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $851.14 / $1,096.48 / $1,621.81	Professional	$851.14	$1,096.48	$1,621.81
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility	$758.58	$758.58	$758.58
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $1,071.52 / $1,737.80	Professional	$616.60	$1,071.52	$1,737.80
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $4,786.30 / $50,118.72 / $75,857.76	Facility	$4,786.30	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $1,096.48 / $2,137.96	Professional	$398.11	$1,096.48	$2,137.96
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 $812.83 / $1,288.25 / $8,128.31	Professional	$812.83	$1,288.25	$8,128.31
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $977.24 / $3,548.13	Facility	$676.08	$977.24	$3,548.13
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $616.60 / $977.24 / $2,187.76	Professional	$616.60	$977.24	$2,187.76

New York rates for HCPCS 42509