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 $48.98 / $162.18 / $977.24	Facility	$48.98	$162.18	$977.24
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $109.65 / $208.93	Professional	$38.90	$109.65	$208.93
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $234.42 / $263.03	Professional	$177.83	$234.42	$263.03
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $58.88	Facility	$58.88	$58.88	$58.88
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $58.88 / $194.98	Professional	$58.88	$58.88	$194.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $50,118.72	Facility	$66.07	$66.07	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $144.54 / $380.19	Professional	$47.86	$144.54	$380.19
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $41.69 / $114.82 / $181.97	Facility	$41.69	$114.82	$181.97
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $199.53 / $281.84	Professional	$151.36	$199.53	$281.84
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.85	Facility	$15.14	$15.14	$15.85
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $165.96 / $309.03	Professional	$100.00	$165.96	$309.03
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $50,118.72 / $75,857.76	Facility	$32.36	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $151.36 / $186.21 / $338.84	Professional	$151.36	$186.21	$338.84
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $128.82 / $707.95 / $933.25	Facility	$128.82	$707.95	$933.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $190.55 / $870.96	Professional	$52.48	$190.55	$870.96
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $77.62 / $147.91	Facility	$15.14	$77.62	$147.91
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $147.91 / $269.15	Professional	$102.33	$147.91	$269.15

New York rates for HCPCS 96542