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 $19.95 / $123.03 / $389.05	Facility		$19.95	$123.03	$389.05
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $4.07 / $218.78 / $426.58	Facility	CQ	$4.07	$218.78	$426.58
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $34.67 / $151.36	Professional		$19.05	$34.67	$151.36
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $51.29 / $158.49 / $158.49	Professional	CO	$51.29	$158.49	$158.49
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.70 / $46.77 / $158.49	Professional	CQ	$25.70	$46.77	$158.49
Ambetter Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Professional	CQ	$25.70	$25.70	$25.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $54.95 / $75.86	Professional		$21.88	$54.95	$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 $44.67 / $44.67 / $44.67	Facility	CQ	$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $38.02 / $107.15	Professional		$19.05	$38.02	$107.15
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $41.69 / $125.89	Facility		$26.92	$41.69	$125.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $38.90 / $70.79	Professional		$25.70	$38.90	$70.79
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $43.65	Facility		$30.90	$38.90	$43.65
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $41.69 / $67.61	Professional		$27.54	$41.69	$67.61
Fidelis Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $11.22 / $11.22 / $11.22	Professional	CQ	$11.22	$11.22	$11.22
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $104.71 / $117.49	Facility		$28.18	$104.71	$117.49
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $27.54 / $27.54 / $27.54	Facility	CQ	$27.54	$27.54	$27.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $4.79 / $4.79 / $28.18	Professional	CQ	$4.79	$4.79	$28.18
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 $39.81 / $45.71 / $74.13	Professional		$39.81	$45.71	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $40.74 / $114.82	Facility		$32.36	$40.74	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $44.67 / $93.33	Professional		$30.20	$44.67	$93.33
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $141.25	Facility		$22.91	$37.15	$141.25
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $37.15 / $81.28	Professional		$27.54	$37.15	$81.28

New York rates for HCPCS 97112