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 $11.75 / $32.36 / $97.72	Facility	$11.75	$32.36	$97.72
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $12.02 / $18.20	Professional	$10.00	$12.02	$18.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $6.17 / $6.17	Professional	$6.17	$6.17	$6.17
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $35.48	Facility	$13.80	$13.80	$35.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $7.08 / $31.62	Professional	$6.76	$7.08	$31.62
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.32 / $13.80 / $13.80	Facility	$8.32	$13.80	$13.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.00 / $13.80 / $13.80	Professional	$10.00	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $33.11 / $147.91	Facility	$13.49	$33.11	$147.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $19.05 / $91.20	Professional	$9.12	$19.05	$91.20
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $17.78 / $46.77	Facility	$11.48	$17.78	$46.77
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $9.55 / $26.92	Professional	$5.50	$9.55	$26.92
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $5.25 / $5.25	Facility	$5.25	$5.25	$5.25
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $13.18 / $20.42	Professional	$5.25	$13.18	$20.42
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $28.18 / $63.10	Facility	$10.00	$28.18	$63.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Professional	$9.12	$9.12	$9.12
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $24.55 / $50,118.72	Facility	$11.22	$24.55	$50,118.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.47 / $16.60 / $22.39	Facility	$10.47	$16.60	$22.39
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.75 / $10.00 / $30.90	Professional	$5.75	$10.00	$30.90
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.25 / $6.92 / $33.11	Facility	$5.25	$6.92	$33.11
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $13.80 / $43.65	Professional	$5.25	$13.80	$43.65

New York rates for HCPCS 86225