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 $23.99 / $30.20 / $89.13	Professional		$23.99	$30.20	$89.13
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $23.99 / $33.88	Professional	26	$16.98	$23.99	$33.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $3.98 / $28.84	Professional	TC	$2.00	$3.98	$28.84
AllWays Health Partners Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $39.81	Facility	26	$26.30	$26.30	$39.81
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $44.67 / $323.59	Professional		$26.92	$44.67	$323.59
AllWays Health Partners Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $32.36 / $154.88	Professional	26	$19.50	$32.36	$154.88
AllWays Health Partners Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.89 / $8.32 / $223.87	Professional	TC	$3.89	$8.32	$223.87
BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $33.88 / $64.57	Professional	26	$28.84	$33.88	$64.57
BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $14.45 / $19.05 / $30.90	Professional	52	$14.45	$19.05	$30.90
BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $6.61 / $11.22	Professional	TC	$5.01	$6.61	$11.22
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	26	$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $47.86 / $85.11	Professional		$23.44	$47.86	$85.11
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $26.92 / $70.79	Professional	26	$19.95	$26.92	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.02 / $8.32 / $52.48	Professional	TC	$3.02	$8.32	$52.48
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $18.62 / $42.66	Professional		$3.16	$18.62	$42.66
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $40.74 / $75.86	Professional		$25.70	$40.74	$75.86
Harvard Pilgrim Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.88 / $64.57	Professional	26	$20.89	$33.88	$64.57
Harvard Pilgrim Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $5.89 / $11.22	Professional	TC	$3.63	$5.89	$11.22
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Mass General Brigham Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $39.81	Facility	26	$26.30	$26.30	$39.81
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $44.67 / $323.59	Professional		$26.92	$44.67	$323.59
Mass General Brigham Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $32.36 / $154.88	Professional	26	$19.50	$32.36	$154.88
Mass General Brigham Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.89 / $8.32 / $223.87	Professional	TC	$3.89	$8.32	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $38.02 / $79.43	Professional		$24.55	$38.02	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $29.51 / $64.57	Professional	26	$18.20	$29.51	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.55 / $5.50 / $35.48	Professional	TC	$3.55	$5.50	$35.48

Massachusetts rates for HCPCS 92542