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 $81.28 / $112.20 / $169.82	Facility	26	$81.28	$112.20	$169.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $416.87 / $1,202.26	Professional		$194.98	$416.87	$1,202.26
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $104.71 / $275.42	Professional	26	$66.07	$104.71	$275.42
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $75.86 / $147.91 / $398.11	Professional	52	$75.86	$147.91	$398.11
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $257.04 / $512.86	Professional	TC	$138.04	$257.04	$512.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $144.54 / $169.82	Professional		$134.90	$144.54	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $64.57 / $371.54	Professional	26	$38.90	$64.57	$371.54
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $234.42 / $234.42 / $234.42	Professional	TC	$234.42	$234.42	$234.42
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $199.53 / $251.19 / $794.33	Professional		$199.53	$251.19	$794.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $81.28 / $158.49	Professional	26	$64.57	$81.28	$158.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $134.90 / $165.96 / $501.19	Professional	TC	$134.90	$165.96	$501.19
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $204.17 / $302.00	Professional		$102.33	$204.17	$302.00
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $79.43 / $114.82	Facility	26	$16.98	$79.43	$114.82
Cigna Facility/Professional Facility Modifier 53 Typical Low / Median / Typical High $22.91 / $40.74 / $61.66	Facility	53	$22.91	$40.74	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $489.78 / $2,187.76	Professional		$181.97	$489.78	$2,187.76
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $109.65 / $288.40	Professional	26	$53.70	$109.65	$288.40
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $338.84 / $1,621.81	Professional	TC	$125.89	$338.84	$1,621.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $204.17 / $275.42 / $446.68	Professional		$204.17	$275.42	$446.68
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $95.50 / $213.80	Professional	26	$69.18	$95.50	$213.80
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $138.04 / $186.21 / $281.84	Professional	TC	$138.04	$186.21	$281.84
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $338.84 / $501.19	Professional		$186.21	$338.84	$501.19
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $112.20 / $162.18	Professional	26	$57.54	$112.20	$162.18
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $251.19 / $323.59	Professional	TC	$120.23	$251.19	$323.59
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $83.18 / $83.18 / $83.18	Professional	26	$83.18	$83.18	$83.18
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $323.59 / $323.59 / $323.59	Professional	TC	$323.59	$323.59	$323.59
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $208.93 / $269.15 / $501.19	Professional		$208.93	$269.15	$501.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $66.07 / $89.13 / $147.91	Professional	26	$66.07	$89.13	$147.91
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $131.83 / $131.83 / $134.90	Professional	52	$131.83	$131.83	$134.90
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $181.97 / $181.97	Professional	TC	$181.97	$181.97	$181.97
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $269.15 / $691.83 / $724.44	Professional		$269.15	$691.83	$724.44
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $93.33 / $186.21 / $208.93	Professional	26	$93.33	$186.21	$208.93
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $181.97 / $446.68 / $512.86	Professional	TC	$181.97	$446.68	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $302.00 / $1,348.96	Professional		$181.97	$302.00	$1,348.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $95.50 / $457.09	Professional	26	$61.66	$95.50	$457.09
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $199.53 / $1,174.90	Professional	TC	$125.89	$199.53	$1,174.90
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $81.28 / $239.88	Facility	26	$57.54	$81.28	$239.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $186.21 / $338.84 / $602.56	Professional		$186.21	$338.84	$602.56
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $102.33 / $204.17	Professional	26	$57.54	$102.33	$204.17
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $223.87 / $380.19	Professional	TC	$120.23	$223.87	$380.19

New York rates for HCPCS 70551