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 $8.51 / $34.67 / $380.19	Facility		$8.51	$34.67	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $12.88 / $31.62	Professional		$7.94	$12.88	$31.62
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $22.91 / $46.77	Professional	CQ	$9.77	$22.91	$46.77
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $23.99 / $75.86	Professional		$10.96	$23.99	$75.86
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $79.43 / $186.21 / $50,118.72	Facility		$79.43	$186.21	$50,118.72
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $16.22 / $50.12	Professional		$9.55	$16.22	$50.12
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $26.92 / $58.88	Facility		$16.22	$26.92	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $20.89 / $44.67	Professional		$11.48	$20.89	$44.67
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $17.38 / $19.50	Facility		$13.80	$17.38	$19.50
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $17.78 / $30.20	Professional		$11.75	$17.78	$30.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $83.18	Facility		$12.02	$12.02	$83.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $22.91	Professional		$12.02	$12.02	$22.91
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $19.95 / $34.67	Professional		$17.38	$19.95	$34.67
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $17.78 / $48.98	Facility		$14.45	$17.78	$48.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $36.31 / $85.11	Professional		$15.49	$36.31	$85.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $15.49 / $53.70	Facility		$11.48	$15.49	$53.70
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $15.49 / $44.67	Professional		$11.48	$15.49	$44.67

New York rates for HCPCS 97012