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 $467.74 / $1,995.26 / $4,168.69	Facility		$467.74	$1,995.26	$4,168.69
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $331.13 / $1,778.28	Professional		$138.04	$331.13	$1,778.28
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $3,090.30 / $28,840.32	Facility		$371.54	$3,090.30	$28,840.32
AllWays Health Partners Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	52	$3,981.07	$3,981.07	$3,981.07
AllWays Health Partners Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	53	$1,000.00	$1,000.00	$1,000.00
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $870.96 / $7,413.10	Professional		$162.18	$870.96	$7,413.10
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $407.38	Facility		$173.78	$173.78	$407.38
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $398.11 / $2,238.72	Professional		$173.78	$398.11	$2,238.72
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $588.84 / $645.65 / $1,995.26	Facility		$588.84	$645.65	$1,995.26
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $416.87 / $2,630.27	Professional		$181.97	$416.87	$2,630.27
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $199.53 / $3,311.31	Facility		$128.82	$199.53	$3,311.31
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $1,047.13 / $1,659.59 / $2,290.87	Professional		$1,047.13	$1,659.59	$2,290.87
Harvard Pilgrim Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $3,162.28 / $8,511.38	Facility		$616.60	$3,162.28	$8,511.38
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $891.25 / $2,884.03	Professional		$165.96	$891.25	$2,884.03
Health New England Facility/Professional Facility Modifier Typical Low / Median / Typical High $851.14 / $2,041.74 / $4,570.88	Facility		$851.14	$2,041.74	$4,570.88
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $323.59 / $537.03	Professional		$154.88	$323.59	$537.03
Mass General Brigham Facility/Professional Facility Modifier Typical Low / Median / Typical High $371.54 / $3,090.30 / $28,840.32	Facility		$371.54	$3,090.30	$28,840.32
Mass General Brigham Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $3,981.07 / $3,981.07 / $3,981.07	Facility	52	$3,981.07	$3,981.07	$3,981.07
Mass General Brigham Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,000.00 / $1,000.00 / $1,000.00	Facility	53	$1,000.00	$1,000.00	$1,000.00
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $870.96 / $7,413.10	Professional		$162.18	$870.96	$7,413.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $2,691.53 / $7,585.78	Facility		$616.60	$2,691.53	$7,585.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $426.58 / $2,884.03	Professional		$165.96	$426.58	$2,884.03

Massachusetts rates for HCPCS 43249