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 $100.00 / $131.83 / $257.04	Facility		$100.00	$131.83	$257.04
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $128.82 / $128.82 / $134.90	Facility	25	$128.82	$128.82	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $154.88 / $288.40	Professional		$102.33	$154.88	$288.40
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $104.71 / $190.55 / $338.84	Professional	25	$104.71	$190.55	$338.84
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $131.83 / $131.83 / $154.88	Professional	25	$131.83	$131.83	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $154.88 / $251.19	Professional		$131.83	$154.88	$251.19
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $190.55 / $190.55 / $234.42	Professional		$190.55	$190.55	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $245.47	Professional		$162.18	$162.18	$245.47
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $75.86 / $302.00	Facility		$75.86	$75.86	$302.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $251.19 / $371.54	Professional		$194.98	$251.19	$371.54
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $154.88 / $154.88 / $199.53	Facility		$154.88	$154.88	$199.53
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $194.98 / $363.08	Professional		$134.90	$194.98	$363.08
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $758.58 / $758.58 / $758.58	Facility		$758.58	$758.58	$758.58
Highmark BCBS Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Facility	25	$165.96	$165.96	$165.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $165.96 / $186.21	Professional		$104.71	$165.96	$186.21
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $131.83 / $154.88 / $177.83	Professional	25	$131.83	$154.88	$177.83
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $229.09 / $371.54	Professional		$186.21	$229.09	$371.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $95.50 / $371.54	Facility		$91.20	$95.50	$371.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $245.47 / $630.96	Professional		$134.90	$245.47	$630.96
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $141.25 / $154.88	Facility		$107.15	$141.25	$154.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $169.82 / $288.40	Professional		$125.89	$169.82	$288.40

New York rates for HCPCS G0402