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 $257.04 / $2,951.21 / $7,762.47	Facility		$257.04	$2,951.21	$7,762.47
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $56.23 / $91.20	Facility	26	$45.71	$56.23	$91.20
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $239.88 / $630.96	Professional		$144.54	$239.88	$630.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $56.23 / $147.91	Professional	26	$38.90	$56.23	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $158.49 / $323.59	Professional	TC	$87.10	$158.49	$323.59
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $208.93 / $363.08	Professional		$173.78	$208.93	$363.08
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $43.65 / $102.33	Professional	26	$33.88	$43.65	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $169.82 / $288.40	Professional	TC	$131.83	$169.82	$288.40
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $56.23 / $208.93 / $4,073.80	Facility		$56.23	$208.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $208.93 / $263.03	Professional		$56.23	$208.93	$263.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $263.03 / $53,703.18	Facility		$34.67	$263.03	$53,703.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $46.77 / $67.61	Facility	26	$10.00	$46.77	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $331.13 / $812.83	Professional		$162.18	$331.13	$812.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $85.11 / $181.97	Professional	26	$40.74	$85.11	$181.97
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $239.88 / $588.84	Professional	TC	$120.23	$239.88	$588.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $134.90 / $309.03	Facility		$66.07	$134.90	$309.03
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $245.47 / $309.03	Professional		$165.96	$245.47	$309.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $54.95 / $83.18	Professional	26	$40.74	$54.95	$83.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $181.97 / $239.88	Professional	TC	$138.04	$181.97	$239.88
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $239.88 / $467.74	Professional		$128.82	$239.88	$467.74
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $53.70 / $97.72	Professional	26	$33.11	$53.70	$97.72
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $181.97 / $371.54	Professional	TC	$102.33	$181.97	$371.54
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
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 $190.55 / $229.09 / $398.11	Professional		$190.55	$229.09	$398.11
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $56.23 / $104.71	Professional	26	$46.77	$56.23	$104.71
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $141.25 / $165.96 / $389.05	Professional	TC	$141.25	$165.96	$389.05
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $1,348.96 / $2,511.89 / $4,897.79	Facility		$1,348.96	$2,511.89	$4,897.79
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $245.47 / $426.58	Professional		$125.89	$245.47	$426.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $53.70 / $134.90	Professional	26	$33.11	$53.70	$134.90
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $177.83 / $416.87	Professional	TC	$100.00	$177.83	$416.87
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $245.47 / $812.83	Facility		$147.91	$245.47	$812.83
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $32.36 / $51.29 / $251.19	Facility	26	$32.36	$51.29	$251.19
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $223.87 / $478.63	Professional		$134.90	$223.87	$478.63
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $51.29 / $107.15	Professional	26	$32.36	$51.29	$107.15
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $169.82 / $371.54	Professional	TC	$87.10	$169.82	$371.54

New York rates for HCPCS 51797