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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $85.11 / $169.82	Professional		$39.81	$85.11	$169.82
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $34.67 / $97.72 / $158.49	Professional	25	$34.67	$97.72	$158.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $97.72 / $102.33	Professional		$85.11	$97.72	$102.33
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $85.11 / $85.11 / $85.11	Professional	25	$85.11	$85.11	$85.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $223.87	Professional		$63.10	$83.18	$223.87
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $125.89	Professional		$72.44	$72.44	$125.89
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $87.10 / $199.53	Professional		$43.65	$87.10	$199.53
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $138.04	Professional		$42.66	$60.26	$138.04
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $91.20 / $186.21	Professional		$67.61	$91.20	$186.21
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $89.13 / $144.54	Professional		$85.11	$89.13	$144.54
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $74.13 / $87.10 / $89.13	Professional	25	$74.13	$87.10	$89.13
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $234.42	Professional		$91.20	$120.23	$234.42
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $50.12 / $107.15	Professional		$25.12	$50.12	$107.15
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $151.36	Professional		$67.61	$81.28	$151.36

New York rates for HCPCS 92012