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 $36.31 / $69.18 / $109.65	Facility	$36.31	$69.18	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $34.67 / $83.18	Professional	$23.99	$34.67	$83.18
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $95.50	Facility	$36.31	$36.31	$95.50
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $14.79 / $63.10	Professional	$14.79	$14.79	$63.10
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $36.31 / $36.31	Facility	$21.88	$36.31	$36.31
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $46.77	Professional	$36.31	$36.31	$46.77
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $77.62 / $131.83	Facility	$35.48	$77.62	$131.83
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $51.29 / $177.83	Professional	$22.39	$51.29	$177.83
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $128.82 / $194.98	Facility	$41.69	$128.82	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $32.36 / $69.18	Professional	$25.70	$32.36	$69.18
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $34.67 / $64.57	Professional	$29.51	$34.67	$64.57
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $69.18 / $50,118.72	Facility	$46.77	$69.18	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $38.02	Professional	$36.31	$36.31	$38.02
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $36.31 / $45.71	Facility	$33.11	$36.31	$45.71
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $30.90 / $93.33	Professional	$15.49	$30.90	$93.33
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $38.90	Facility	$30.90	$38.90	$38.90
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $34.67 / $87.10	Professional	$29.51	$34.67	$87.10

New York rates for HCPCS 81242