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 $229.09 / $2,884.03 / $7,079.46	Facility		$229.09	$2,884.03	$7,079.46
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $794.33 / $1,445.44 / $3,467.37	Facility	52	$794.33	$1,445.44	$3,467.37
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $229.09 / $645.65	Professional		$112.20	$229.09	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $263.03	Professional		$97.72	$114.82	$263.03
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 $229.09 / $269.15 / $602.56	Professional		$229.09	$269.15	$602.56
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $1,258.93 / $4,073.80	Facility		$173.78	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $426.58	Professional		$173.78	$173.78	$426.58
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $1,318.26 / $50,118.72	Facility		$204.17	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Facility	22	$245.47	$245.47	$245.47
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	52	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility	53	$41.69	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $346.74 / $831.76	Professional		$147.91	$346.74	$831.76
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $173.78 / $426.58	Facility		$128.82	$173.78	$426.58
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $371.54 / $645.65	Professional		$288.40	$371.54	$645.65
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $575.44 / $794.33	Professional		$263.03	$575.44	$794.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $1,584.89 / $3,311.31	Facility		$794.33	$1,584.89	$3,311.31
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $2,511.89 / $2,511.89 / $3,311.31	Facility	52	$2,511.89	$2,511.89	$3,311.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $173.78 / $398.11	Professional		$125.89	$173.78	$398.11
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $338.84 / $398.11 / $724.44	Professional		$338.84	$398.11	$724.44
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $3,467.37 / $7,244.36	Facility		$1,513.56	$3,467.37	$7,244.36
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $338.84 / $912.01	Professional		$95.50	$338.84	$912.01
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $144.54 / $562.34	Facility		$100.00	$144.54	$562.34
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $457.09 / $758.58	Professional		$234.42	$457.09	$758.58

New York rates for HCPCS 43235