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 $181.97 / $2,884.03 / $7,413.10	Facility	$181.97	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $165.96 / $363.08	Professional	$112.20	$165.96	$363.08
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $112.20 / $144.54	Professional	$97.72	$112.20	$144.54
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $9,549.93	Facility	$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $169.82 / $302.00	Professional	$144.54	$169.82	$302.00
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $4,073.80	Facility	$158.49	$158.49	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $223.87	Professional	$158.49	$158.49	$223.87
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $199.53 / $50,118.72	Facility	$34.67	$199.53	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $213.80 / $549.54	Professional	$120.23	$213.80	$549.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $125.89 / $281.84	Facility	$50.12	$125.89	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $239.88 / $354.81	Professional	$181.97	$239.88	$354.81
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $147.91	Facility	$147.91	$147.91	$147.91
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $181.97 / $331.13	Professional	$128.82	$181.97	$331.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,202.26 / $1,659.59 / $5,128.61	Facility	$1,202.26	$1,659.59	$5,128.61
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $147.91 / $309.03	Professional	$147.91	$147.91	$309.03
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $50,118.72 / $75,857.76	Facility	$117.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $281.84 / $416.87	Professional	$186.21	$281.84	$416.87
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,951.21 / $5,248.07	Facility	$1,348.96	$2,951.21	$5,248.07
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $239.88 / $467.74	Professional	$117.49	$239.88	$467.74
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $141.25 / $426.58	Facility	$95.50	$141.25	$426.58
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $190.55 / $338.84	Professional	$128.82	$190.55	$338.84

New York rates for HCPCS 42800