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 $275.42 / $4,677.35 / $11,220.18	Facility	$275.42	$4,677.35	$11,220.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $223.87 / $524.81	Professional	$173.78	$223.87	$524.81
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,677.35 / $9,549.93	Facility	$2,630.27	$4,677.35	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $181.97 / $380.19	Professional	$154.88	$181.97	$380.19
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $2,398.83 / $10,964.78	Facility	$275.42	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $275.42	Professional	$275.42	$275.42	$275.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $2,290.87 / $50,118.72	Facility	$338.84	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $309.03 / $741.31	Professional	$190.55	$309.03	$741.31
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $281.84 / $707.95	Facility	$199.53	$281.84	$707.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $275.42 / $416.87	Professional	$208.93	$275.42	$416.87
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility	$190.55	$190.55	$190.55
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $234.42 / $426.58	Professional	$162.18	$234.42	$426.58
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $2,454.71 / $5,248.07	Facility	$2,454.71	$2,454.71	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $50,118.72 / $75,857.76	Facility	$190.55	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $389.05 / $524.81	Professional	$234.42	$389.05	$524.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,698.24 / $3,981.07 / $9,120.11	Facility	$1,698.24	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $316.23 / $2,089.30	Professional	$190.55	$316.23	$2,089.30
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $239.88 / $776.25	Facility	$162.18	$239.88	$776.25
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $239.88 / $512.86	Professional	$162.18	$239.88	$512.86

New York rates for HCPCS 42835