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 $10.96 / $28.84 / $128.82	Facility		$10.96	$28.84	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.02 / $32.36	Professional		$7.94	$12.02	$32.36
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $25.70 / $46.77	Professional	CQ	$9.77	$25.70	$46.77
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $36.31 / $100.00	Facility		$15.49	$36.31	$100.00
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $16.98 / $95.50	Professional		$13.18	$16.98	$95.50
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $165.96 / $190.55 / $251.19	Facility		$165.96	$190.55	$251.19
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.80 / $13.80 / $21.88	Professional		$13.80	$13.80	$21.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $41.69 / $51.29	Facility		$11.48	$41.69	$51.29
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $16.98 / $39.81	Professional		$10.23	$16.98	$39.81
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $6.76 / $15.14 / $77.62	Facility		$6.76	$15.14	$77.62
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.92 / $12.30 / $23.44	Professional		$6.92	$12.30	$23.44
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $17.38 / $38.02	Professional		$14.79	$17.38	$38.02
Health New England Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $74.13 / $229.09	Facility		$33.88	$74.13	$229.09
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $50.12 / $50.12	Professional		$12.02	$50.12	$50.12
Mass General Brigham Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $36.31 / $100.00	Facility		$15.49	$36.31	$100.00
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $16.98 / $95.50	Professional		$13.18	$16.98	$95.50
Tufts Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $38.02 / $457.09	Facility		$13.18	$38.02	$457.09
Tufts Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $12.88 / $17.38	Professional		$12.59	$12.88	$17.38
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $14.45 / $14.79	Facility		$13.49	$14.45	$14.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $16.98 / $39.81	Professional		$13.18	$16.98	$39.81

Massachusetts rates for HCPCS 97012