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 $20.89 / $114.82 / $389.05	Facility		$20.89	$114.82	$389.05
Aetna Facility/Professional Facility Modifier CO Typical Low / Median / Typical High $77.62 / $77.62 / $77.62	Facility	CO	$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $144.54	Professional		$19.05	$28.18	$144.54
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $70.79 / $70.79 / $1,148.15	Professional	CO	$70.79	$70.79	$1,148.15
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $28.18 / $28.18 / $83.18	Professional	CQ	$28.18	$28.18	$83.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $53.70 / $75.86	Professional		$22.91	$53.70	$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 CO Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Facility	CO	$44.67	$44.67	$44.67
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 $19.50 / $37.15 / $109.65	Professional		$19.50	$37.15	$109.65
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $41.69 / $125.89	Facility		$34.67	$41.69	$125.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $44.67 / $64.57	Professional		$36.31	$44.67	$64.57
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 $26.92 / $40.74 / $67.61	Professional		$26.92	$40.74	$67.61
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $17.78 / $39.81 / $89.13	Facility		$17.78	$39.81	$89.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Highmark BCBS Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $26.92 / $26.92 / $27.54	Professional	CQ	$26.92	$26.92	$27.54
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 $38.90 / $44.67 / $74.13	Professional		$38.90	$44.67	$74.13
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $40.74 / $109.65	Facility		$32.36	$40.74	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $44.67 / $120.23	Professional		$29.51	$44.67	$120.23
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $23.44 / $36.31 / $109.65	Facility		$23.44	$36.31	$109.65
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $36.31 / $77.62	Professional		$26.92	$36.31	$77.62

New York rates for HCPCS 97535