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. Small sample — interpret with caution. 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 $87.10 / $100.00 / $134.90	Facility		$87.10	$100.00	$134.90
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	CQ	$39.81	$39.81	$39.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $7.94 / $10.96 / $28.18	Professional		$7.94	$10.96	$28.18
BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $95.50 / $154.88	Facility		$57.54	$95.50	$154.88
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $14.45 / $14.45	Professional		$12.59	$14.45	$14.45
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $13.80 / $23.44	Professional		$10.96	$13.80	$23.44
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $52.48 / $151.36	Professional		$17.38	$52.48	$151.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $16.22 / $64.57	Professional		$13.18	$16.22	$64.57

Vermont rates for HCPCS 97035