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 $34.67 / $36.31 / $54.95	Facility	$34.67	$36.31	$54.95
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $37.15 / $53.70	Professional	$28.18	$37.15	$53.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.88 / $53.70	Professional	$26.92	$33.88	$53.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.02 / $66.07	Professional	$30.90	$38.02	$66.07
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility	$51.29	$51.29	$51.29
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Facility	$53.70	$53.70	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $38.90 / $72.44	Professional	$28.18	$38.90	$72.44
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $0.10 / $0.10 / $0.10	Facility	$0.10	$0.10	$0.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $54.95	Professional	$34.67	$34.67	$54.95
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $20.89 / $36.31	Facility	$20.89	$20.89	$36.31
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $38.02 / $70.79	Professional	$26.92	$38.02	$70.79
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $35.48	Professional	$30.20	$30.20	$35.48
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Facility	$43.65	$43.65	$43.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	$38.02	$38.02	$38.02
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $51.29 / $120.23	Professional	$37.15	$51.29	$120.23
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $39.81 / $53.70	Professional	$31.62	$39.81	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $33.88 / $1,096.48	Facility	$30.20	$33.88	$1,096.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $46.77 / $123.03	Professional	$33.11	$46.77	$123.03
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $31.62 / $40.74	Facility	$20.89	$31.62	$40.74
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $36.31 / $70.79	Professional	$27.54	$36.31	$70.79

New York rates for HCPCS 96138