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 $363.08 / $3,630.78 / $12,882.50	Facility		$363.08	$3,630.78	$12,882.50
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $371.54 / $933.25	Professional		$186.21	$371.54	$933.25
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $165.96 / $263.03	Professional		$77.62	$165.96	$263.03
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,365.16 / $9,549.93	Facility		$2,630.27	$4,365.16	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $446.68 / $870.96	Professional		$380.19	$446.68	$870.96
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $275.42 / $1,698.24 / $6,165.95	Facility		$275.42	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $275.42 / $724.44	Professional		$275.42	$275.42	$724.44
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $331.13 / $1,659.59 / $50,118.72	Facility		$331.13	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $398.11 / $398.11 / $398.11	Facility	22	$398.11	$398.11	$398.11
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $512.86 / $1,348.96	Professional		$213.80	$512.86	$1,348.96
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $263.03 / $660.69	Facility		$199.53	$263.03	$660.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $575.44 / $1,023.29	Professional		$229.09	$575.44	$1,023.29
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $630.96 / $1,047.13	Professional		$199.53	$630.96	$1,047.13
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,000.00 / $2,691.53 / $5,370.32	Facility		$1,000.00	$2,691.53	$5,370.32
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $257.04 / $275.42	Professional		$234.42	$257.04	$275.42
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $50,118.72 / $75,857.76	Facility		$223.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $616.60 / $1,071.52	Professional		$398.11	$616.60	$1,071.52
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 $102.33 / $245.47 / $1,479.11	Professional		$102.33	$245.47	$1,479.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $158.49 / $234.42 / $851.14	Facility		$158.49	$234.42	$851.14
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $588.84 / $1,047.13	Professional		$234.42	$588.84	$1,047.13

New York rates for HCPCS 43251