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 $302.00 / $3,090.30 / $7,943.28	Facility		$302.00	$3,090.30	$7,943.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $338.84 / $758.58	Professional		$169.82	$338.84	$758.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $154.88 / $407.38	Professional		$75.86	$154.88	$407.38
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 $295.12 / $346.74 / $660.69	Professional		$295.12	$346.74	$660.69
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $1,698.24 / $6,165.95	Facility		$251.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $562.34	Professional		$251.19	$251.19	$562.34
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $295.12 / $1,479.11 / $50,118.72	Facility		$295.12	$1,479.11	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $354.81 / $354.81 / $354.81	Facility	22	$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $239.88 / $239.88 / $239.88	Facility	52	$239.88	$239.88	$239.88
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	53	$58.88	$58.88	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $426.58 / $1,096.48	Professional		$194.98	$426.58	$1,096.48
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $239.88 / $602.56	Facility		$181.97	$239.88	$602.56
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $602.56 / $933.25	Professional		$245.47	$602.56	$933.25
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $501.19 / $812.83	Professional		$263.03	$501.19	$812.83
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $501.19 / $1,819.70 / $3,890.45	Facility		$501.19	$1,819.70	$3,890.45
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $229.09 / $512.86	Professional		$229.09	$229.09	$512.86
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $489.78 / $851.14	Professional		$398.11	$489.78	$851.14
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 $208.93 / $245.47 / $1,412.54	Professional		$208.93	$245.47	$1,412.54
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $141.25 / $208.93 / $794.33	Facility		$141.25	$208.93	$794.33
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $457.09 / $812.83	Professional		$263.03	$457.09	$812.83

New York rates for HCPCS 43247