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 $37.15 / $93.33 / $436.52	Facility		$37.15	$93.33	$436.52
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $13.80 / $28.84	Facility	26	$8.91	$13.80	$28.84
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $38.02 / $104.71	Professional		$16.60	$38.02	$104.71
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $15.85 / $37.15	Professional	26	$8.91	$15.85	$37.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $28.84 / $58.88	Professional	TC	$18.62	$28.84	$58.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $26.92 / $29.51	Professional		$20.89	$26.92	$29.51
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Professional	26	$15.85	$15.85	$15.85
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $16.60 / $38.02	Professional	TC	$16.60	$16.60	$38.02
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $34.67 / $77.62	Professional		$27.54	$34.67	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $22.39	Professional	26	$7.76	$9.77	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $24.55 / $52.48	Professional	TC	$19.95	$24.55	$52.48
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $35.48	Facility		$15.85	$15.85	$35.48
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $35.48 / $51.29	Professional		$15.85	$35.48	$51.29
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $199.53	Facility		$63.10	$87.10	$199.53
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $48.98 / $134.90	Professional		$29.51	$48.98	$134.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $15.85 / $38.90	Professional	26	$8.32	$15.85	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $34.67 / $120.23	Professional	TC	$19.95	$34.67	$120.23
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $33.88 / $91.20	Facility		$21.88	$33.88	$91.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $75.86	Professional		$37.15	$48.98	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $15.49 / $28.84	Professional	26	$10.47	$15.49	$28.84
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $37.15 / $53.70	Professional	TC	$27.54	$37.15	$53.70
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $47.86 / $85.11	Professional		$21.88	$47.86	$85.11
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.13 / $24.55	Professional	26	$8.51	$14.13	$24.55
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $33.11 / $61.66	Professional	TC	$15.85	$33.11	$61.66
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $91.20 / $218.78	Facility		$29.51	$91.20	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $36.31 / $89.13	Professional		$36.31	$36.31	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $18.62	Professional	26	$12.59	$12.88	$18.62
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $52.48 / $53,703.18	Facility		$26.30	$52.48	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $48.98 / $95.50	Professional		$40.74	$48.98	$95.50
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $27.54	Professional	26	$12.88	$15.49	$27.54
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $67.61	Professional	TC	$28.18	$33.11	$67.61
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $181.97 / $213.80	Facility		$67.61	$181.97	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $47.86 / $141.25	Professional		$30.90	$47.86	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $13.80 / $63.10	Professional	26	$9.33	$13.80	$63.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $35.48 / $102.33	Professional	TC	$21.88	$35.48	$102.33
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $23.99 / $79.43	Facility		$15.14	$23.99	$79.43
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $12.30 / $35.48	Facility	26	$8.51	$12.30	$35.48
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $47.86 / $91.20	Professional		$21.88	$47.86	$91.20
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $14.13 / $30.20	Professional	26	$8.51	$14.13	$30.20
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $33.11 / $66.07	Professional	TC	$15.85	$33.11	$66.07

New York rates for HCPCS 71100