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	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $158.49 / $223.87	Facility	$69.18	$158.49	$223.87
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $275.42	Professional	$85.11	$114.82	$275.42
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $199.53 / $398.11	Facility	$199.53	$199.53	$398.11
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $120.23 / $316.23	Professional	$120.23	$120.23	$316.23
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $165.96 / $165.96	Facility	$151.36	$165.96	$165.96
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $165.96 / $165.96	Professional	$165.96	$165.96	$165.96
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $107.15 / $125.89 / $53,703.18	Facility	$107.15	$125.89	$53,703.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $234.42	Professional	$93.33	$93.33	$234.42
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $199.53 / $331.13 / $776.25	Facility	$199.53	$331.13	$776.25
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $380.19	Professional	$125.89	$199.53	$380.19
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $117.49 / $123.03	Facility	$117.49	$117.49	$123.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $125.89 / $131.83	Professional	$117.49	$125.89	$131.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $158.49	Professional	$158.49	$158.49	$158.49
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $50,118.72 / $75,857.76	Facility	$251.19	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $190.55 / $190.55	Professional	$131.83	$190.55	$190.55
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $549.54	Facility	$74.13	$104.71	$549.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $131.83 / $331.13	Professional	$75.86	$131.83	$331.13
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $117.49 / $125.89 / $141.25	Facility	$117.49	$125.89	$141.25
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $125.89 / $131.83	Professional	$117.49	$125.89	$131.83

New York rates for HCPCS L4397