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 $380.19 / $3,019.95 / $7,244.36	Facility		$380.19	$3,019.95	$7,244.36
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $549.54 / $831.76 / $1,479.11	Facility	52	$549.54	$831.76	$1,479.11
Aetna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $95.50 / $181.97 / $309.03	Facility	53	$95.50	$181.97	$309.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $354.81 / $933.25	Professional		$181.97	$354.81	$933.25
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $81.28 / $154.88 / $288.40	Professional	53	$81.28	$154.88	$288.40
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $162.18 / $245.47	Professional		$154.88	$162.18	$245.47
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $72.44 / $87.10 / $100.00	Professional	53	$72.44	$87.10	$100.00
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $6,606.93	Facility		$1,819.70	$3,630.78	$6,606.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $331.13 / $794.33	Professional		$281.84	$331.13	$794.33
Anthem BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $69.18 / $131.83 / $239.88	Professional	53	$69.18	$131.83	$239.88
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $263.03 / $3,235.94	Facility		$128.82	$263.03	$3,235.94
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $245.47 / $489.78	Professional		$128.82	$245.47	$489.78
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $1,412.54 / $50,118.72	Facility		$309.03	$1,412.54	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $371.54 / $371.54 / $371.54	Facility	22	$371.54	$371.54	$371.54
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $251.19 / $251.19 / $251.19	Facility	52	$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Facility	53	$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $436.52 / $1,023.29	Professional		$223.87	$436.52	$1,023.29
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $213.80 / $229.09 / $446.68	Professional	53	$213.80	$229.09	$446.68
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $263.03 / $630.96	Facility		$190.55	$263.03	$630.96
Emblem Health Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $89.13 / $144.54 / $338.84	Facility	53	$89.13	$144.54	$338.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $331.13 / $426.58 / $758.58	Professional		$331.13	$426.58	$758.58
Emblem Health Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $218.78 / $288.40 / $426.58	Professional	53	$218.78	$288.40	$426.58
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
Excellus BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	53	$158.49	$158.49	$158.49
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $741.31 / $1,047.13	Professional		$316.23	$741.31	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $138.04 / $588.84 / $741.31	Professional	53	$138.04	$588.84	$741.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $1,621.81 / $3,801.89	Facility		$758.58	$1,621.81	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Facility	52	$794.33	$794.33	$794.33
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $1,148.15 / $1,148.15 / $1,148.15	Facility	53	$1,148.15	$1,148.15	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $316.23 / $446.68	Professional		$186.21	$316.23	$446.68
Highmark BCBS Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $138.04 / $158.49 / $223.87	Professional	53	$138.04	$158.49	$223.87
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 / $436.52 / $851.14	Professional		$398.11	$436.52	$851.14
MVP Health Care Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $194.98 / $229.09 / $446.68	Professional	53	$194.98	$229.09	$446.68
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,513.56 / $3,467.37 / $6,606.93	Facility		$1,513.56	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $389.05 / $1,318.26	Professional		$169.82	$389.05	$1,318.26
United Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $112.20 / $251.19 / $707.95	Professional	53	$112.20	$251.19	$707.95
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $263.03 / $1,318.26	Facility		$147.91	$263.03	$1,318.26
Univera Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $74.13 / $131.83 / $131.83	Facility	53	$74.13	$131.83	$131.83
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $275.42 / $660.69 / $1,000.00	Professional		$275.42	$660.69	$1,000.00
Univera Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $138.04 / $416.87 / $645.65	Professional	53	$138.04	$416.87	$645.65

New York rates for HCPCS 45378