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 26 Typical Low / Median / Typical High $13.18 / $20.42 / $44.67	Facility	26	$13.18	$20.42	$44.67
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $75.86 / $181.97	Facility	TC	$31.62	$75.86	$181.97
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $54.95 / $138.04	Professional		$36.31	$54.95	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $20.89 / $60.26	Professional	26	$12.02	$20.89	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $75.86	Professional	TC	$21.88	$33.11	$75.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $35.48	Professional		$31.62	$31.62	$35.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $45.71 / $104.71	Professional		$36.31	$45.71	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $17.38 / $33.11	Professional	26	$13.80	$17.38	$33.11
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $28.18 / $66.07	Professional	TC	$21.88	$28.18	$66.07
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $43.65 / $63.10	Professional		$19.50	$43.65	$63.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.24 / $15.14 / $21.88	Facility	26	$3.24	$15.14	$21.88
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.24 / $33.88 / $48.98	Facility	TC	$7.24	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $61.66 / $204.17	Professional		$35.48	$61.66	$204.17
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $21.88 / $53.70	Professional	26	$11.22	$21.88	$53.70
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $43.65 / $147.91	Professional	TC	$24.55	$43.65	$147.91
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Facility	TC	$26.92	$26.92	$26.92
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $58.88 / $91.20	Professional		$44.67	$58.88	$91.20
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.50 / $41.69	Professional	26	$13.18	$19.50	$41.69
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $64.57	Professional	TC	$33.11	$44.67	$64.57
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility	TC	$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $104.71	Professional		$31.62	$57.54	$104.71
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.78 / $32.36	Professional	26	$10.96	$17.78	$32.36
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $40.74 / $72.44	Professional	TC	$22.91	$40.74	$72.44
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $43.65 / $229.09 / $776.25	Facility	TC	$43.65	$229.09	$776.25
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $50.12 / $85.11	Professional		$50.12	$50.12	$85.11
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $19.50 / $28.84	Professional	26	$16.22	$19.50	$28.84
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $60.26 / $117.49	Professional		$50.12	$60.26	$117.49
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $19.95 / $35.48	Professional	26	$16.22	$19.95	$35.48
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $39.81 / $81.28	Professional	TC	$33.88	$39.81	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $169.82	Professional		$38.90	$60.26	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $17.78 / $79.43	Professional	26	$12.02	$17.78	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $41.69 / $123.03	Professional	TC	$27.54	$41.69	$123.03
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $15.85 / $53.70	Facility	26	$10.96	$15.85	$53.70
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $15.14 / $22.39 / $87.10	Facility	TC	$15.14	$22.39	$87.10
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $57.54 / $112.20	Professional		$31.62	$57.54	$112.20
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.78 / $38.90	Professional	26	$10.96	$17.78	$38.90
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $40.74 / $83.18	Professional	TC	$22.91	$40.74	$83.18

New York rates for HCPCS 70260