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 $218.78 / $3,162.28 / $8,511.38	Facility		$218.78	$3,162.28	$8,511.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $389.05 / $870.96	Professional		$144.54	$389.05	$870.96
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 $281.84 / $371.54 / $1,000.00	Professional		$281.84	$371.54	$1,000.00
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $1,698.24 / $6,165.95	Facility		$199.53	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $562.34	Professional		$199.53	$199.53	$562.34
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $1,819.70 / $53,703.18	Facility		$239.88	$1,819.70	$53,703.18
Cigna Facility/Professional Facility Modifier 22 Typical Low / Median / Typical High $288.40 / $288.40 / $288.40	Facility	22	$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $501.19 / $1,380.38	Professional		$173.78	$501.19	$1,380.38
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $218.78 / $489.78	Facility		$147.91	$218.78	$489.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $380.19 / $512.86 / $741.31	Professional		$380.19	$512.86	$741.31
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $512.86 / $794.33	Professional		$316.23	$512.86	$794.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,659.59 / $2,951.21 / $6,606.93	Facility		$1,659.59	$2,951.21	$6,606.93
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $501.19 / $831.76	Professional		$398.11	$501.19	$831.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,137.96 / $3,981.07 / $8,709.64	Facility		$2,137.96	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $380.19 / $912.01	Professional		$125.89	$380.19	$912.01
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $114.82 / $181.97 / $489.78	Facility		$114.82	$181.97	$489.78
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $295.12 / $446.68 / $794.33	Professional		$295.12	$446.68	$794.33

New York rates for HCPCS 52204