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 $75.86 / $177.83 / $645.65	Facility		$75.86	$177.83	$645.65
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $47.86 / $87.10 / $158.49	Facility	26	$47.86	$87.10	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $77.62 / $275.42	Professional		$38.02	$77.62	$275.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $46.77 / $117.49	Professional	26	$30.90	$46.77	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $37.15 / $169.82	Professional	TC	$25.70	$37.15	$169.82
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $31.62 / $63.10	Professional		$29.51	$31.62	$63.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $70.79 / $275.42	Professional		$57.54	$70.79	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $39.81 / $104.71	Professional	26	$32.36	$39.81	$104.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.90 / $125.89	Professional	TC	$24.55	$30.90	$125.89
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $4,073.80	Facility		$40.74	$52.48	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $93.33	Professional		$40.74	$52.48	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $104.71 / $53,703.18	Facility		$34.67	$104.71	$53,703.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $63.10	Facility	26	$9.33	$43.65	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $194.98 / $501.19	Professional		$66.07	$194.98	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $81.28 / $204.17	Professional	26	$37.15	$81.28	$204.17
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $83.18 / $309.03	Professional	TC	$28.84	$83.18	$309.03
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $79.43 / $218.78	Facility		$35.48	$79.43	$218.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $102.33 / $141.25	Professional		$72.44	$102.33	$141.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $58.88 / $77.62	Professional	26	$39.81	$58.88	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $46.77 / $61.66	Professional	TC	$32.36	$46.77	$61.66
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $100.00 / $208.93	Professional		$60.26	$100.00	$208.93
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $57.54 / $75.86	Professional	26	$34.67	$57.54	$75.86
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $42.66 / $109.65	Professional	TC	$25.70	$42.66	$109.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $134.90 / $138.04	Professional		$134.90	$134.90	$138.04
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $239.88 / $50,118.72 / $75,857.76	Facility		$239.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $128.82 / $398.11	Professional		$79.43	$128.82	$398.11
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $54.95 / $109.65	Professional	26	$44.67	$54.95	$109.65
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $40.74 / $97.72	Professional	TC	$33.88	$40.74	$97.72
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $954.99 / $2,454.71 / $4,897.79	Facility		$954.99	$2,454.71	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $95.50 / $338.84	Professional		$60.26	$95.50	$338.84
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $53.70 / $169.82	Professional	26	$34.67	$53.70	$169.82
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $42.66 / $194.98	Professional	TC	$26.30	$42.66	$194.98
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $83.18 / $660.69	Facility		$52.48	$83.18	$660.69
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $47.86 / $281.84	Facility	26	$30.20	$47.86	$281.84
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $95.50 / $218.78	Professional		$52.48	$95.50	$218.78
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $54.95 / $117.49	Professional	26	$30.20	$54.95	$117.49
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $39.81 / $114.82	Professional	TC	$22.39	$39.81	$114.82

New York rates for HCPCS 51784