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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $4,073.80 / $10,964.78	Facility	$794.33	$4,073.80	$10,964.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $537.03 / $724.44 / $1,862.09	Professional	$537.03	$724.44	$1,862.09
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $3,388.44 / $5,495.41 / $12,882.50	Facility	$3,388.44	$5,495.41	$12,882.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $549.54 / $1,412.54	Professional	$426.58	$549.54	$1,412.54
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $794.33 / $2,398.83 / $10,964.78	Facility	$794.33	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $794.33 / $794.33 / $794.33	Professional	$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $977.24 / $4,786.30 / $53,703.18	Facility	$977.24	$4,786.30	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $1,000.00 / $2,570.40	Professional	$426.58	$1,000.00	$2,570.40
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $524.81 / $645.65 / $1,995.26	Facility	$524.81	$645.65	$1,995.26
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $741.31 / $1,096.48	Professional	$549.54	$741.31	$1,096.48
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $758.58 / $1,202.26	Professional	$467.74	$758.58	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $8,912.51 / $8,912.51 / $8,912.51	Facility	$8,912.51	$8,912.51	$8,912.51
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $616.60 / $50,118.72 / $75,857.76	Facility	$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $398.11 / $758.58 / $1,230.27	Professional	$398.11	$758.58	$1,230.27
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2,290.87 / $3,981.07 / $9,120.11	Facility	$2,290.87	$3,981.07	$9,120.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $426.58 / $758.58 / $1,819.70	Professional	$426.58	$758.58	$1,819.70
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $467.74 / $758.58 / $1,862.09	Facility	$467.74	$758.58	$1,862.09
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $758.58 / $1,819.70	Professional	$467.74	$758.58	$1,819.70

New York rates for HCPCS 54861