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 $27.54 / $66.07 / $109.65	Facility	$27.54	$66.07	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $53.70	Professional	$19.05	$28.18	$53.70
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $93.33	Facility	$35.48	$35.48	$93.33
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $17.38 / $69.18	Professional	$14.45	$17.38	$69.18
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.38 / $35.48 / $35.48	Facility	$21.38	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $35.48 / $35.48	Professional	$26.30	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $75.86 / $288.40	Facility	$34.67	$75.86	$288.40
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $44.67 / $173.78	Professional	$21.38	$44.67	$173.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $42.66 / $102.33	Facility	$25.12	$42.66	$102.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $25.12 / $69.18	Professional	$16.98	$25.12	$69.18
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Facility	$23.44	$23.44	$23.44
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $30.20 / $42.66	Professional	$23.44	$30.20	$42.66
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility	$93.33	$93.33	$93.33
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $67.61 / $50,118.72	Facility	$33.11	$67.61	$50,118.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $38.90 / $47.86	Facility	$23.44	$38.90	$47.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $23.44 / $81.28	Professional	$15.14	$23.44	$81.28
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $28.18 / $61.66	Facility	$23.44	$28.18	$61.66
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $30.20 / $64.57	Professional	$23.44	$30.20	$64.57

New York rates for HCPCS 85055