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 $16.22 / $102.33 / $380.19	Facility		$16.22	$102.33	$380.19
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $37.15 / $58.88 / $58.88	Facility	CQ	$37.15	$58.88	$58.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.08 / $11.75 / $25.70	Professional		$7.08	$11.75	$25.70
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $7.59 / $27.54 / $31.62	Professional	CQ	$7.59	$27.54	$31.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $21.88 / $75.86	Professional		$11.75	$21.88	$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 Facility Modifier CQ Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Facility	CQ	$16.60	$16.60	$16.60
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $14.79 / $41.69	Professional		$8.71	$14.79	$41.69
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.80 / $26.92 / $52.48	Facility		$13.80	$26.92	$52.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $17.78 / $38.02	Professional		$9.55	$17.78	$38.02
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.22 / $14.13 / $15.85	Facility		$11.22	$14.13	$15.85
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $15.85 / $25.12	Professional		$9.77	$15.85	$25.12
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.77 / $9.77 / $9.77	Professional	CQ	$9.77	$9.77	$9.77
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 $14.13 / $16.22 / $30.90	Professional		$14.13	$16.22	$30.90
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $15.14 / $39.81	Facility		$12.02	$15.14	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $36.31 / $85.11	Professional		$13.18	$36.31	$85.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.55 / $12.88 / $50.12	Facility		$9.55	$12.88	$50.12
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.55 / $15.14 / $38.02	Professional		$9.55	$15.14	$38.02

New York rates for HCPCS 97016