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 $109.65 / $1,698.24 / $7,244.36	Facility		$109.65	$1,698.24	$7,244.36
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $134.90 / $323.59	Professional		$74.13	$134.90	$323.59
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $123.03 / $218.78	Professional	52	$60.26	$123.03	$218.78
Aetna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $22.91 / $47.86 / $83.18	Professional	53	$22.91	$47.86	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $144.54 / $144.54	Professional		$144.54	$144.54	$144.54
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $120.23 / $316.23	Professional		$93.33	$120.23	$316.23
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $4,073.80	Facility		$91.20	$91.20	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $144.54	Professional		$91.20	$91.20	$144.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $107.15 / $53,703.18	Facility		$34.67	$107.15	$53,703.18
Cigna Facility/Professional Facility Modifier 52 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Facility	52	$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	53	$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $173.78 / $416.87	Professional		$85.11	$173.78	$416.87
Cigna Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $63.10 / $67.61 / $134.90	Professional	53	$63.10	$67.61	$134.90
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $67.61 / $204.17	Facility		$50.12	$67.61	$204.17
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $151.36 / $223.87	Professional		$117.49	$151.36	$223.87
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $120.23 / $251.19	Professional		$89.13	$120.23	$251.19
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $426.58 / $602.56	Facility		$223.87	$426.58	$602.56
Highmark BCBS Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $645.65 / $645.65 / $645.65	Facility	53	$645.65	$645.65	$645.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $251.19	Professional		$91.20	$131.83	$251.19
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $50,118.72 / $75,857.76	Facility		$93.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $147.91 / $398.11	Professional		$114.82	$147.91	$398.11
MVP Health Care Facility/Professional Professional Modifier 53 Typical Low / Median / Typical High $57.54 / $67.61 / $134.90	Professional	53	$57.54	$67.61	$134.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,071.52 / $2,454.71 / $4,897.79	Facility		$1,071.52	$2,454.71	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $128.82 / $269.15	Professional		$70.79	$128.82	$269.15
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $309.03	Facility		$51.29	$72.44	$309.03
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $120.23 / $275.42	Professional		$83.18	$120.23	$275.42

New York rates for HCPCS 58100