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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $18.20 / $36.31	Professional		$12.88	$18.20	$36.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.44 / $28.18	Professional		$23.44	$23.44	$28.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $28.18 / $47.86	Professional		$22.91	$28.18	$47.86
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $35.48 / $51.29	Professional		$25.12	$35.48	$51.29
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $35.48 / $52.48	Professional		$31.62	$35.48	$52.48
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.70 / $34.67	Professional		$19.05	$25.70	$34.67
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $23.99 / $24.55	Professional		$23.44	$23.99	$24.55
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Professional	25	$23.44	$23.44	$23.44
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $34.67 / $60.26	Professional		$25.12	$34.67	$60.26
Optum Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $25.12 / $47.86	Professional		$16.60	$25.12	$47.86
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $26.92 / $34.67	Professional		$19.05	$26.92	$34.67

New York rates for HCPCS 98940