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 $16.60 / $38.90 / $58.88	Facility	$16.60	$38.90	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $15.85 / $33.11	Professional	$12.88	$15.85	$33.11
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $50.12	Facility	$19.50	$19.50	$50.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $10.00 / $44.67	Professional	$9.55	$10.00	$44.67
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $19.50 / $19.50	Facility	$11.48	$19.50	$19.50
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $19.50 / $19.50	Professional	$14.13	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $41.69 / $199.53	Facility	$19.05	$41.69	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $26.92 / $97.72	Professional	$13.18	$26.92	$97.72
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $25.12 / $66.07	Facility	$16.22	$25.12	$66.07
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $13.49 / $37.15	Professional	$9.12	$13.49	$37.15
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Facility	$19.50	$19.50	$19.50
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $19.50 / $26.92	Professional	$16.98	$19.50	$26.92
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility	$52.48	$52.48	$52.48
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $36.31 / $50,118.72	Facility	$23.99	$36.31	$50,118.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $23.44 / $31.62	Facility	$14.45	$23.44	$31.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.13 / $14.45 / $43.65	Professional	$8.13	$14.45	$43.65
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $19.50 / $46.77	Facility	$16.60	$19.50	$46.77
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $20.42 / $61.66	Professional	$16.60	$20.42	$61.66

New York rates for HCPCS 85280