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 / $27.54 / $338.84	Facility		$8.51	$27.54	$338.84
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $63.10 / $245.47 / $363.08	Facility	CQ	$63.10	$245.47	$363.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.59 / $12.02 / $36.31	Professional		$7.59	$12.02	$36.31
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 $11.48 / $11.75 / $26.92	Professional	CQ	$11.48	$11.75	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $21.38 / $75.86	Professional		$8.91	$21.38	$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 $19.50 / $19.50 / $19.50	Facility	CQ	$19.50	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $15.85 / $47.86	Professional		$8.51	$15.85	$47.86
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $26.92 / $58.88	Facility		$16.60	$26.92	$58.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.48 / $19.50 / $34.67	Professional		$11.48	$19.50	$34.67
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.49 / $16.98 / $19.05	Facility		$13.49	$16.98	$19.05
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $17.38 / $30.20	Professional		$11.22	$17.38	$30.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $70.79	Facility		$13.18	$13.18	$70.79
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
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 $16.60 / $19.05 / $31.62	Professional		$16.60	$19.05	$31.62
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.45 / $17.78 / $47.86	Facility		$14.45	$17.78	$47.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $36.31 / $85.11	Professional		$14.45	$36.31	$85.11
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.12 / $15.49 / $70.79	Facility		$9.12	$15.49	$70.79
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $15.49 / $39.81	Professional		$11.22	$15.49	$39.81

New York rates for HCPCS 97035