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 $4.90 / $56.23 / $144.54	Facility		$4.90	$56.23	$144.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.47 / $9.77 / $35.48	Professional		$4.47	$9.77	$35.48
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $5.50 / $9.55 / $34.67	Professional	25	$5.50	$9.55	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.72 / $4.57 / $5.75	Professional		$3.72	$4.57	$5.75
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $4.57 / $9.77	Professional		$3.55	$4.57	$9.77
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.61 / $6.61 / $6.61	Facility		$6.61	$6.61	$6.61
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.61 / $6.61 / $6.61	Professional		$6.61	$6.61	$6.61
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $7.24 / $39.81	Facility		$7.24	$7.24	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.55 / $5.01 / $11.22	Professional		$3.55	$5.01	$11.22
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $4.27	Facility		$0.10	$0.10	$4.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $5.62	Professional		$4.27	$4.27	$5.62
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.69 / $2.69 / $4.90	Facility		$2.69	$2.69	$4.90
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.16 / $5.62 / $9.55	Professional		$3.16	$5.62	$9.55
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $4.68 / $6.31	Professional		$4.68	$4.68	$6.31
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $51.29 / $89.13	Facility		$20.42	$51.29	$89.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.90 / $7.59 / $11.22	Professional		$4.90	$7.59	$11.22
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.50 / $7.08 / $15.85	Professional		$5.50	$7.08	$15.85
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.76 / $6.76 / $6.76	Professional		$6.76	$6.76	$6.76
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.47 / $6.17 / $112.20	Facility		$4.47	$6.17	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.68 / $7.41 / $24.55	Professional		$4.68	$7.41	$24.55
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.69 / $3.72 / $5.50	Facility		$2.69	$3.72	$5.50
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.63 / $5.50 / $9.55	Professional		$3.63	$5.50	$9.55

New York rates for HCPCS 96127