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 $30.90 / $79.43 / $331.13	Facility		$30.90	$79.43	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $20.89 / $39.81	Professional		$16.98	$20.89	$39.81
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
Aetna Facility/Professional Professional Modifier CQ Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	CQ	$38.02	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $33.11 / $69.18	Professional		$19.05	$33.11	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $44.67 / $51.29	Professional		$36.31	$44.67	$51.29
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $28.84 / $37.15	Professional		$24.55	$28.84	$37.15
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $28.18 / $30.90	Facility		$28.18	$28.18	$30.90
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $34.67 / $60.26	Professional		$20.42	$34.67	$60.26

New Jersey rates for HCPCS 97542