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 $524.81 / $3,467.37 / $7,079.46	Facility		$524.81	$3,467.37	$7,079.46
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $309.03 / $1,318.26 / $2,951.21	Facility	52	$309.03	$1,318.26	$2,951.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $245.47 / $630.96	Professional		$114.82	$245.47	$630.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $257.04	Professional		$97.72	$114.82	$257.04
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,148.15 / $8,317.64 / $19,952.62	Facility		$1,148.15	$8,317.64	$19,952.62
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $158.49 / $363.08	Professional		$120.23	$158.49	$363.08
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $2,754.23 / $3,630.78	Facility		$204.17	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $295.12 / $630.96	Professional		$134.90	$295.12	$630.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $338.84 / $645.65	Professional		$123.03	$338.84	$645.65
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,905.46 / $3,162.28 / $4,677.35	Facility		$1,905.46	$3,162.28	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $281.84 / $630.96	Professional		$97.72	$281.84	$630.96
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,041.74 / $5,011.87 / $8,317.64	Facility		$2,041.74	$5,011.87	$8,317.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $251.19 / $501.19	Professional		$95.50	$251.19	$501.19

New Jersey rates for HCPCS 43235