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 $199.53 / $2,041.74 / $7,244.36	Facility	$199.53	$2,041.74	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $204.17 / $489.78	Professional	$131.83	$204.17	$489.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $128.82 / $346.74	Professional	$117.49	$128.82	$346.74
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 $173.78 / $204.17 / $363.08	Professional	$173.78	$204.17	$363.08
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $1,258.93 / $4,073.80	Facility	$190.55	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $275.42	Professional	$190.55	$190.55	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $229.09 / $1,023.29 / $50,118.72	Facility	$229.09	$1,023.29	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $257.04 / $645.65	Professional	$144.54	$257.04	$645.65
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $501.19	Facility	$138.04	$186.21	$501.19
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $295.12 / $436.52	Professional	$229.09	$295.12	$436.52
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $177.83 / $177.83 / $177.83	Facility	$177.83	$177.83	$177.83
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $194.98 / $398.11	Professional	$158.49	$194.98	$398.11
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $407.38 / $3,715.35	Facility	$295.12	$407.38	$3,715.35
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $50,118.72 / $75,857.76	Facility	$141.25	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $389.05 / $512.86	Professional	$234.42	$389.05	$512.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $676.08 / $2,344.23 / $4,786.30	Facility	$676.08	$2,344.23	$4,786.30
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $288.40 / $741.31	Professional	$138.04	$288.40	$741.31
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $162.18 / $537.03	Facility	$112.20	$162.18	$537.03
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $229.09 / $407.38	Professional	$158.49	$229.09	$407.38

New York rates for HCPCS 42700