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 $660.69 / $2,570.40 / $7,244.36	Facility		$660.69	$2,570.40	$7,244.36
Aetna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $1,348.96 / $1,513.56 / $2,884.03	Facility	52	$1,348.96	$1,513.56	$2,884.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $489.78 / $1,288.25	Professional		$251.19	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $100.00 / $114.82 / $181.97	Professional	53	$100.00	$114.82	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $234.42 / $446.68	Professional		$194.98	$234.42	$446.68
Ambetter Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $229.09 / $229.09 / $229.09	Professional	53	$229.09	$229.09	$229.09
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,479.11 / $7,943.28 / $12,589.25	Facility		$1,479.11	$7,943.28	$12,589.25
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $295.12 / $676.08	Professional		$295.12	$295.12	$676.08
AmeriHealth Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $125.89 / $147.91 / $338.84	Professional	53	$125.89	$147.91	$338.84
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $426.58 / $2,754.23 / $3,630.78	Facility		$426.58	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $501.19 / $1,023.29	Professional		$281.84	$501.19	$1,023.29
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $309.03 / $309.03 / $309.03	Professional	53	$309.03	$309.03	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $562.34 / $1,000.00	Professional		$245.47	$562.34	$1,000.00
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,454.71 / $3,801.89 / $6,025.60	Facility		$2,454.71	$3,801.89	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $457.09 / $1,071.52	Professional		$204.17	$457.09	$1,071.52
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,089.30 / $5,011.87 / $8,317.64	Facility		$2,089.30	$5,011.87	$8,317.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $436.52 / $851.14	Professional		$199.53	$436.52	$851.14

New Jersey rates for HCPCS 45385