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 $8.91 / $33.88 / $158.49	Facility		$8.91	$33.88	$158.49
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $25.12 / $48.98 / $141.25	Facility	CQ	$25.12	$48.98	$141.25
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $11.48 / $35.48	Professional		$7.94	$11.48	$35.48
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	CO	$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $9.12 / $19.05 / $34.67	Professional	CQ	$9.12	$19.05	$34.67
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.49 / $33.11 / $100.00	Facility		$15.49	$33.11	$100.00
AllWays Health Partners Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $16.22 / $89.13	Professional		$12.02	$16.22	$89.13
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 $16.98 / $27.54 / $38.90	Professional		$16.98	$27.54	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.71 / $33.88 / $46.77	Facility		$8.71	$33.88	$46.77
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $15.49 / $39.81	Professional		$9.77	$15.49	$39.81
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.41 / $15.14 / $77.62	Facility		$7.41	$15.14	$77.62
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.41 / $12.59 / $23.44	Professional		$7.41	$12.59	$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 $23.99 / $81.28 / $229.09	Facility		$23.99	$81.28	$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 / $33.11 / $100.00	Facility		$15.49	$33.11	$100.00
Mass General Brigham Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $75.86 / $75.86 / $75.86	Facility	CQ	$75.86	$75.86	$75.86
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $16.22 / $89.13	Professional		$12.02	$16.22	$89.13
Tufts Facility/Professional Facility Modifier Typical Low / Median / Typical High $8.91 / $18.62 / $524.81	Facility		$8.91	$18.62	$524.81
Tufts Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $15.14 / $22.39	Professional		$14.79	$15.14	$22.39
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.96 / $14.45 / $14.45	Facility		$10.96	$14.45	$14.45
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $16.22 / $39.81	Professional		$12.30	$16.22	$39.81

Massachusetts rates for HCPCS 97035