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 $398.11 / $3,162.28 / $7,762.47	Facility		$398.11	$3,162.28	$7,762.47
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $407.38 / $1,122.02	Professional		$194.98	$407.38	$1,122.02
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $173.78 / $660.69	Professional		$173.78	$173.78	$660.69
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,630.27 / $4,786.30 / $9,549.93	Facility		$2,630.27	$4,786.30	$9,549.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $489.78 / $575.44 / $1,148.15	Professional		$489.78	$575.44	$1,148.15
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $281.84 / $1,698.24 / $6,165.95	Facility		$281.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $281.84 / $954.99	Professional		$281.84	$281.84	$954.99
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $338.84 / $1,659.59 / $50,118.72	Facility		$338.84	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $407.38 / $407.38 / $407.38	Facility	22	$407.38	$407.38	$407.38
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $269.15 / $269.15 / $269.15	Facility	52	$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $588.84 / $1,698.24	Professional		$234.42	$588.84	$1,698.24
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $309.03 / $676.08	Facility		$204.17	$309.03	$676.08
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $229.09 / $724.44 / $1,348.96	Professional		$229.09	$724.44	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $794.33 / $1,318.26	Professional		$257.04	$794.33	$1,318.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $1,995.26 / $5,370.32	Facility		$1,513.56	$1,995.26	$5,370.32
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $263.03 / $371.54	Professional		$257.04	$263.03	$371.54
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $288.40 / $50,118.72 / $75,857.76	Facility		$288.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $851.14 / $1,479.11	Professional		$398.11	$851.14	$1,479.11
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 $120.23 / $245.47 / $1,659.59	Professional		$120.23	$245.47	$1,659.59
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $234.42 / $1,096.48	Facility		$162.18	$234.42	$1,096.48
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $741.31 / $1,318.26	Professional		$257.04	$741.31	$1,318.26

New York rates for HCPCS 43255