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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $186.21 / $2,884.03 / $7,413.10	Facility		$186.21	$2,884.03	$7,413.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $213.80 / $512.86	Professional		$85.11	$213.80	$512.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $38.90 / $478.63	Professional		$38.90	$38.90	$478.63
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 $204.17 / $239.88 / $501.19	Professional		$204.17	$239.88	$501.19
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $123.03 / $1,258.93 / $4,073.80	Facility		$123.03	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $371.54	Professional		$123.03	$123.03	$371.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $1,318.26 / $50,118.72	Facility		$147.91	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Facility	52	$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $29.51 / $29.51 / $29.51	Facility	53	$29.51	$29.51	$29.51
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $275.42 / $741.31	Professional		$104.71	$275.42	$741.31
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $128.82 / $309.03	Facility		$93.33	$128.82	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $426.58 / $660.69	Professional		$331.13	$426.58	$660.69
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $331.13 / $549.54	Professional		$190.55	$331.13	$549.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,862.09 / $1,862.09 / $4,786.30	Facility		$1,862.09	$1,862.09	$4,786.30
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $50,118.72 / $75,857.76	Facility		$128.82	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $398.11 / $691.83	Professional		$295.12	$398.11	$691.83
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,584.89 / $3,467.37 / $7,244.36	Facility		$1,584.89	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $398.11 / $1,513.56	Professional		$102.33	$398.11	$1,513.56
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $436.52	Facility		$70.79	$104.71	$436.52
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $316.23 / $537.03	Professional		$190.55	$316.23	$537.03

New York rates for HCPCS 43200