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 $11.22 / $22.39 / $35.48	Facility	$11.22	$22.39	$35.48
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $8.91 / $17.38	Professional	$7.94	$8.91	$17.38
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $30.90	Facility	$11.75	$11.75	$30.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.89 / $6.17 / $27.54	Professional	$5.89	$6.17	$27.54
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.08 / $11.75 / $11.75	Facility	$7.08	$11.75	$11.75
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $11.75 / $11.75	Professional	$8.71	$11.75	$11.75
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $26.30 / $128.82	Facility	$11.48	$26.30	$128.82
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $16.98 / $60.26	Professional	$7.94	$16.98	$60.26
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.46 / $13.49 / $32.36	Facility	$6.46	$13.49	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.62 / $8.32 / $22.91	Professional	$5.62	$8.32	$22.91
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $11.75 / $15.85	Professional	$10.47	$11.75	$15.85
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	$44.67	$44.67	$44.67
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $22.39 / $50,118.72	Facility	$14.79	$22.39	$50,118.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $14.45 / $19.50	Facility	$8.91	$14.45	$19.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.01 / $8.32 / $26.92	Professional	$5.01	$8.32	$26.92
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $13.49 / $34.67	Facility	$10.00	$13.49	$34.67
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.30 / $40.74	Professional	$10.00	$12.30	$40.74

New York rates for HCPCS 85525