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	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $131.83 / $288.40	Professional	$95.50	$131.83	$288.40
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	$114.82	$114.82	$114.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $107.15 / $234.42	Professional	$91.20	$107.15	$234.42
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 / $190.55	Professional	$190.55	$190.55	$190.55
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 $109.65 / $109.65 / $213.80	Professional	$109.65	$109.65	$213.80
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $151.36 / $281.84	Facility	$125.89	$151.36	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $177.83 / $245.47	Professional	$125.89	$177.83	$245.47
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $141.25 / $275.42	Professional	$102.33	$141.25	$275.42
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $154.88 / $181.97	Professional	$144.54	$154.88	$181.97
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $190.55 / $346.74	Professional	$158.49	$190.55	$346.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $204.17 / $1,000.00	Professional	$128.82	$204.17	$1,000.00
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $138.04 / $257.04	Professional	$104.71	$138.04	$257.04

New York rates for HCPCS G0426