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 $112.20 / $128.82 / $275.42	Facility	26	$112.20	$128.82	$275.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $549.54 / $2,238.72	Professional		$346.74	$549.54	$2,238.72
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $181.97 / $489.78	Professional	26	$100.00	$181.97	$489.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $346.74 / $870.96	Professional	TC	$251.19	$346.74	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $251.19 / $275.42	Professional		$239.88	$251.19	$275.42
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $56.23 / $91.20	Professional	26	$56.23	$56.23	$91.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $436.52 / $1,318.26	Professional		$346.74	$436.52	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $114.82 / $218.78	Professional	26	$93.33	$114.82	$218.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $316.23 / $933.25	Professional	TC	$257.04	$316.23	$933.25
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $389.05 / $537.03	Professional		$147.91	$389.05	$537.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $117.49 / $165.96	Facility	26	$25.12	$117.49	$165.96
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $346.74 / $812.83 / $3,235.94	Professional		$346.74	$812.83	$3,235.94
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $77.62 / $151.36 / $371.54	Professional	26	$77.62	$151.36	$371.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $588.84 / $2,398.83	Professional	TC	$239.88	$588.84	$2,398.83
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $758.58	Professional		$354.81	$478.63	$758.58
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $100.00 / $141.25 / $436.52	Professional	26	$100.00	$141.25	$436.52
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $346.74 / $524.81	Professional	TC	$257.04	$346.74	$524.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $549.54 / $794.33	Professional		$316.23	$549.54	$794.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $162.18 / $234.42	Professional	26	$83.18	$162.18	$234.42
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $407.38 / $562.34	Professional	TC	$223.87	$407.38	$562.34
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	26	$154.88	$154.88	$154.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $467.74 / $1,000.00	Professional		$467.74	$467.74	$1,000.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $128.82 / $128.82 / $218.78	Professional	26	$128.82	$128.82	$218.78
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $245.47	Professional	TC	$245.47	$245.47	$245.47
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $467.74 / $724.44 / $1,047.13	Professional		$467.74	$724.44	$1,047.13
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $131.83 / $208.93 / $269.15	Professional	26	$131.83	$208.93	$269.15
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $524.81 / $676.08	Professional	TC	$346.74	$524.81	$676.08
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $501.19 / $2,344.23	Professional		$323.59	$501.19	$2,344.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $89.13 / $134.90 / $660.69	Professional	26	$89.13	$134.90	$660.69
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $371.54 / $1,778.28	Professional	TC	$245.47	$371.54	$1,778.28
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $83.18 / $117.49 / $338.84	Facility	26	$83.18	$117.49	$338.84
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $537.03 / $1,000.00	Professional		$316.23	$537.03	$1,000.00
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $147.91 / $263.03	Professional	26	$83.18	$147.91	$263.03
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $389.05 / $707.95	Professional	TC	$223.87	$389.05	$707.95

New York rates for HCPCS 70543