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 $21.88 / $45.71 / $147.91	Facility		$21.88	$45.71	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $21.88 / $72.44	Professional		$18.20	$21.88	$72.44
Aetna Facility/Professional Professional Modifier CO Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	CO	$87.10	$87.10	$87.10
AllWays Health Partners Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $79.43 / $199.53	Facility		$35.48	$79.43	$199.53
AllWays Health Partners Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.02 / $100.00	Professional		$27.54	$38.02	$100.00
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 $33.11 / $33.11 / $52.48	Professional		$33.11	$33.11	$52.48
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $77.62 / $95.50	Facility		$19.05	$77.62	$95.50
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $37.15 / $91.20	Professional		$21.38	$37.15	$91.20
Fallon Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $14.79 / $32.36 / $87.10	Facility		$14.79	$32.36	$87.10
Fallon Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.14 / $26.92 / $51.29	Professional		$15.14	$26.92	$51.29
Harvard Pilgrim Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $38.02 / $83.18	Professional		$32.36	$38.02	$83.18
Health New England Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $141.25	Professional		$48.98	$48.98	$141.25
Mass General Brigham Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $79.43 / $199.53	Facility		$35.48	$79.43	$199.53
Mass General Brigham Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $38.02 / $100.00	Professional		$27.54	$38.02	$100.00
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $30.90 / $30.90	Facility		$22.39	$30.90	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $38.02 / $87.10	Professional		$28.84	$38.02	$87.10

Massachusetts rates for HCPCS 97542