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 $21.38 / $83.18 / $138.04	Facility		$21.38	$83.18	$138.04
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $39.81 / $75.86 / $117.49	Facility	CQ	$39.81	$75.86	$117.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.88 / $75.86	Professional		$15.14	$21.88	$75.86
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $33.88 / $44.67 / $70.79	Professional	CQ	$33.88	$44.67	$70.79
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $72.44 / $186.21	Facility		$32.36	$72.44	$186.21
AllWays Health Partners Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CQ	$158.49	$158.49	$158.49
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $93.33	Professional		$25.12	$34.67	$93.33
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 $23.99 / $28.18 / $44.67	Professional		$23.99	$28.18	$44.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.38 / $72.44 / $89.13	Facility		$17.38	$72.44	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $31.62 / $79.43	Professional		$17.38	$31.62	$79.43
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $30.90 / $79.43	Facility		$12.88	$30.90	$79.43
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $25.12 / $47.86	Professional		$14.13	$25.12	$47.86
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $35.48 / $75.86	Professional		$29.51	$35.48	$75.86
Health New England Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $91.20 / $181.97	Facility		$53.70	$91.20	$181.97
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $44.67 / $75.86	Professional		$15.85	$44.67	$75.86
Mass General Brigham Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $72.44 / $186.21	Facility		$32.36	$72.44	$186.21
Mass General Brigham Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Facility	CQ	$158.49	$158.49	$158.49
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $93.33	Professional		$25.12	$34.67	$93.33
Tufts Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $22.39 / $489.78	Facility		$19.95	$22.39	$489.78
Tufts Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $19.95 / $33.11	Professional		$15.14	$19.95	$33.11
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $28.84 / $28.84	Facility		$19.50	$28.84	$28.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $34.67 / $81.28	Professional		$26.30	$34.67	$81.28

Massachusetts rates for HCPCS 97116