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 $3.80 / $8.32 / $45.71	Facility		$3.80	$8.32	$45.71
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.20 / $36.31 / $147.91	Facility	26	$18.20	$36.31	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $38.02 / $63.10	Professional		$12.59	$38.02	$63.10
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $45.71 / $128.82	Professional	26	$16.98	$45.71	$128.82
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $29.51 / $93.33	Professional		$10.72	$29.51	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $7.41 / $66.07	Professional	26	$7.41	$7.41	$66.07
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.17 / $4.17 / $64.57	Facility		$4.17	$4.17	$64.57
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.17 / $64.57 / $69.18	Professional		$4.17	$64.57	$69.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.16 / $8.71 / $12.59	Facility		$3.16	$8.71	$12.59
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.47 / $48.98 / $70.79	Facility	26	$10.47	$48.98	$70.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $131.83	Professional		$43.65	$43.65	$131.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $123.03	Professional	26	$40.74	$40.74	$123.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $3.63 / $12.02 / $43.65	Facility		$3.63	$12.02	$43.65
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $100.00	Professional		$32.36	$56.23	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $60.26 / $93.33	Professional	26	$32.36	$60.26	$93.33
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $45.71 / $85.11	Professional		$38.90	$45.71	$85.11
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $40.74 / $79.43	Professional	26	$20.89	$40.74	$79.43
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $67.61	Professional	26	$52.48	$52.48	$67.61
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.37 / $6.61 / $50,118.72	Facility		$4.37	$6.61	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $48.98 / $100.00	Professional		$48.98	$48.98	$100.00
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $45.71 / $93.33	Professional	26	$23.44	$45.71	$93.33
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.95 / $3.89 / $18.62	Facility		$2.95	$3.89	$18.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $43.65 / $104.71	Professional		$16.98	$43.65	$104.71
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $43.65 / $89.13	Professional	26	$17.38	$43.65	$89.13
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $53.70 / $53.70	Facility		$40.74	$53.70	$53.70
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $50.12 / $50.12	Facility	26	$26.92	$50.12	$50.12
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $45.71 / $95.50	Professional		$33.11	$45.71	$95.50
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $42.66 / $89.13	Professional	26	$26.92	$42.66	$89.13

New York rates for HCPCS G0452