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 $17.38 / $85.11 / $380.19	Facility		$17.38	$85.11	$380.19
Aetna Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $107.15 / $331.13 / $346.74	Facility	CQ	$107.15	$331.13	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $21.88 / $69.18	Professional		$15.14	$21.88	$69.18
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $19.05 / $21.88 / $588.84	Professional	CQ	$19.05	$21.88	$588.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $45.71 / $75.86	Professional		$18.62	$45.71	$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 $39.81 / $39.81 / $39.81	Facility	CQ	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $35.48 / $95.50	Professional		$17.38	$35.48	$95.50
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $39.81 / $112.20	Facility		$26.92	$39.81	$112.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $34.67 / $63.10	Professional		$22.91	$34.67	$63.10
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $34.67 / $38.90	Facility		$28.18	$34.67	$38.90
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $63.10	Professional		$23.99	$37.15	$63.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Highmark BCBS Facility/Professional Facility Modifier CQ Typical Low / Median / Typical High $20.42 / $20.42 / $29.51	Facility	CQ	$20.42	$20.42	$29.51
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $25.12 / $25.12 / $25.12	Professional	CQ	$25.12	$25.12	$25.12
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 $34.67 / $39.81 / $64.57	Professional		$34.67	$39.81	$64.57
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $36.31 / $97.72	Facility		$28.84	$36.31	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $44.67 / $93.33	Professional		$26.92	$44.67	$93.33
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $32.36 / $120.23	Facility		$19.50	$32.36	$120.23
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $32.36 / $70.79	Professional		$23.99	$32.36	$70.79

New York rates for HCPCS 97116