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 $102.33 / $263.03 / $758.58	Facility		$102.33	$263.03	$758.58
Aetna Facility/Professional Facility Modifier 25 Typical Low / Median / Typical High $831.76 / $831.76 / $831.76	Facility	25	$831.76	$831.76	$831.76
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $177.83 / $346.74	Professional		$128.82	$177.83	$346.74
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $194.98 / $346.74	Professional	25	$114.82	$194.98	$346.74
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $147.91 / $173.78	Professional		$60.26	$147.91	$173.78
Ambetter Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $131.83 / $154.88	Professional	25	$50.12	$131.83	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $109.65 / $269.15	Professional		$93.33	$109.65	$269.15
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $257.04	Facility		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $245.47	Professional		$141.25	$141.25	$245.47
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $151.36 / $616.60	Facility		$147.91	$151.36	$616.60
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 / $199.53 / $354.81	Professional		$134.90	$199.53	$354.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $186.21 / $239.88	Professional		$162.18	$186.21	$239.88
Highmark BCBS Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $177.83 / $177.83 / $181.97	Professional	25	$177.83	$177.83	$181.97
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $234.42 / $371.54	Professional		$194.98	$234.42	$371.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $177.83 / $190.55	Facility		$169.82	$177.83	$190.55
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $263.03 / $1,202.26	Professional		$165.96	$263.03	$1,202.26
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $177.83 / $177.83	Facility		$147.91	$177.83	$177.83
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $177.83 / $288.40	Professional		$134.90	$177.83	$288.40

New York rates for HCPCS G0438