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 $57.54 / $109.65 / $186.21	Facility	$57.54	$109.65	$186.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $66.07 / $109.65	Professional	$42.66	$66.07	$109.65
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $147.91	Facility	$57.54	$57.54	$147.91
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $22.91 / $87.10	Professional	$22.91	$22.91	$87.10
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $57.54 / $57.54	Facility	$33.88	$57.54	$57.54
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $154.88	Professional	$57.54	$57.54	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $120.23 / $257.04	Facility	$56.23	$120.23	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $77.62 / $275.42	Professional	$34.67	$77.62	$275.42
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $177.83 / $269.15	Facility	$66.07	$177.83	$269.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $51.29 / $107.15	Professional	$39.81	$51.29	$107.15
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $53.70 / $102.33	Professional	$45.71	$53.70	$102.33
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $257.04	Facility	$30.90	$50.12	$257.04
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $46.77 / $107.15 / $50,118.72	Facility	$46.77	$107.15	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $58.88	Professional	$57.54	$57.54	$58.88
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $57.54 / $70.79	Facility	$51.29	$57.54	$70.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $47.86 / $177.83	Professional	$23.99	$47.86	$177.83
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $60.26 / $60.26	Facility	$48.98	$60.26	$60.26
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $53.70 / $134.90	Professional	$45.71	$53.70	$134.90

New York rates for HCPCS 81243