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 $269.15 / $3,090.30 / $7,762.47	Facility		$269.15	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $338.84 / $758.58	Professional		$154.88	$338.84	$758.58
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $144.54 / $741.31	Professional		$77.62	$144.54	$741.31
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 $316.23 / $371.54 / $691.83	Professional		$316.23	$371.54	$691.83
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $1,698.24 / $6,165.95	Facility		$234.42	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $602.56	Professional		$234.42	$234.42	$602.56
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $1,479.11 / $50,118.72	Facility		$281.84	$1,479.11	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility	52	$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $426.58 / $1,096.48	Professional		$181.97	$426.58	$1,096.48
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $223.87 / $562.34	Facility		$169.82	$223.87	$562.34
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $467.74 / $912.01	Professional		$229.09	$467.74	$912.01
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Facility		$371.54	$371.54	$371.54
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $512.86 / $870.96	Professional		$169.82	$512.86	$870.96
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.00 / $1,000.00 / $3,311.31	Facility		$2.00	$1,000.00	$3,311.31
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $213.80 / $234.42	Professional		$154.88	$213.80	$234.42
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $512.86 / $912.01	Professional		$398.11	$512.86	$912.01
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 $61.66 / $245.47 / $870.96	Professional		$61.66	$245.47	$870.96
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $134.90 / $194.98 / $741.31	Facility		$134.90	$194.98	$741.31
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $489.78 / $851.14	Professional		$194.98	$489.78	$851.14

New York rates for HCPCS 43248