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 $104.71 / $120.23 / $281.84	Facility	26	$104.71	$120.23	$281.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $524.81 / $1,659.59	Professional		$354.81	$524.81	$1,659.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $85.11 / $144.54 / $309.03	Professional	26	$85.11	$144.54	$309.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $257.04 / $363.08 / $870.96	Professional	TC	$257.04	$363.08	$870.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $257.04 / $257.04 / $281.84	Professional		$257.04	$257.04	$281.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	26	$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $446.68 / $1,380.38	Professional		$354.81	$446.68	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $79.43 / $97.72 / $181.97	Professional	26	$79.43	$97.72	$181.97
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $275.42 / $338.84 / $1,000.00	Professional	TC	$275.42	$338.84	$1,000.00
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $416.87 / $537.03	Professional		$123.03	$416.87	$537.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $97.72 / $138.04	Facility	26	$20.89	$97.72	$138.04
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $851.14 / $3,162.28	Professional		$354.81	$851.14	$3,162.28
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $131.83 / $346.74	Professional	26	$66.07	$131.83	$346.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $269.15 / $676.08 / $2,691.53	Professional	TC	$269.15	$676.08	$2,691.53
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $363.08 / $489.78 / $776.25	Professional		$363.08	$489.78	$776.25
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $117.49 / $537.03	Professional	26	$83.18	$117.49	$537.03
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $380.19 / $575.44	Professional	TC	$288.40	$380.19	$575.44
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $812.83	Professional		$323.59	$562.34	$812.83
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $134.90 / $194.98	Professional	26	$69.18	$134.90	$194.98
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $436.52 / $616.60	Professional	TC	$245.47	$436.52	$616.60
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $354.81 / $478.63 / $891.25	Professional		$354.81	$478.63	$891.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $107.15 / $109.65 / $123.03	Professional	26	$107.15	$109.65	$123.03
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $478.63 / $724.44 / $1,047.13	Professional		$478.63	$724.44	$1,047.13
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $112.20 / $208.93 / $223.87	Professional	26	$112.20	$208.93	$223.87
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $371.54 / $537.03 / $724.44	Professional	TC	$371.54	$537.03	$724.44
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $501.19 / $2,344.23	Professional		$316.23	$501.19	$2,344.23
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $74.13 / $109.65 / $537.03	Professional	26	$74.13	$109.65	$537.03
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $251.19 / $407.38 / $1,905.46	Professional	TC	$251.19	$407.38	$1,905.46
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $69.18 / $100.00 / $288.40	Facility	26	$69.18	$100.00	$288.40
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $562.34 / $1,023.29	Professional		$323.59	$562.34	$1,023.29
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $123.03 / $245.47	Professional	26	$69.18	$123.03	$245.47
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $416.87 / $776.25	Professional	TC	$245.47	$416.87	$776.25

New York rates for HCPCS 70549