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	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $50.12 / $63.10 / $251.19	Facility		$50.12	$63.10	$251.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $44.67 / $67.61	Professional		$19.95	$44.67	$67.61
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	25	$64.57	$64.57	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $23.44 / $40.74	Professional		$18.20	$23.44	$40.74
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $0.76 / $20.89 / $61.66	Professional		$0.76	$20.89	$61.66
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $38.90	Professional		$33.88	$33.88	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $60.26 / $120.23	Facility		$39.81	$60.26	$120.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $30.90 / $74.13	Professional		$19.95	$30.90	$74.13
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $35.48	Facility		$0.10	$0.10	$35.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $36.31 / $47.86	Professional		$25.70	$36.31	$47.86
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $27.54 / $33.88	Facility		$23.99	$27.54	$33.88
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $29.51 / $57.54	Professional		$18.20	$29.51	$57.54
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $44.67 / $46.77	Professional		$25.12	$44.67	$46.77
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $64.57 / $501.19	Facility		$23.44	$64.57	$501.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $25.12 / $60.26	Professional		$23.44	$25.12	$60.26
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $61.66	Professional		$29.51	$37.15	$61.66
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $39.81 / $56.23	Professional		$28.18	$39.81	$56.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $39.81 / $251.19	Facility		$30.20	$39.81	$251.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $37.15 / $63.10	Professional		$22.39	$37.15	$63.10
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.99 / $29.51 / $33.88	Facility		$23.99	$29.51	$33.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $29.51 / $57.54	Professional		$19.50	$29.51	$57.54

New York rates for HCPCS 90853