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 $12.59 / $19.95 / $50.12	Facility	26	$12.59	$19.95	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $208.93	Professional		$38.90	$61.66	$208.93
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $22.39 / $47.86	Professional	26	$12.88	$22.39	$47.86
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $40.74 / $81.28	Professional	TC	$26.92	$40.74	$81.28
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $8.71	Professional	26	$8.71	$8.71	$8.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $48.98 / $112.20	Professional		$38.90	$48.98	$112.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $13.49 / $31.62	Professional	26	$10.47	$13.49	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $35.48 / $74.13	Professional	TC	$28.18	$35.48	$74.13
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $51.29 / $74.13	Professional		$21.88	$51.29	$74.13
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.38 / $25.12	Facility	26	$3.80	$17.38	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $69.18 / $239.88	Professional		$41.69	$69.18	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $22.39 / $54.95	Professional	26	$12.02	$22.39	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $50.12 / $173.78	Professional	TC	$29.51	$50.12	$173.78
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $69.18 / $107.15	Professional		$53.70	$69.18	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $22.39 / $46.77	Professional	26	$15.14	$22.39	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $52.48 / $75.86	Professional	TC	$38.90	$52.48	$75.86
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $67.61 / $123.03	Professional		$35.48	$67.61	$123.03
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $20.42 / $36.31	Professional	26	$12.59	$20.42	$36.31
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $47.86 / $87.10	Professional	TC	$26.92	$47.86	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $53.70 / $95.50	Professional		$52.48	$53.70	$95.50
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $32.36	Professional	26	$18.20	$18.62	$32.36
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $70.79 / $138.04	Professional		$58.88	$70.79	$138.04
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.88 / $40.74	Professional	26	$18.20	$21.88	$40.74
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $47.86 / $97.72	Professional	TC	$40.74	$47.86	$97.72
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $204.17	Professional		$45.71	$67.61	$204.17
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $20.42 / $83.18	Professional	26	$13.18	$20.42	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $50.12 / $144.54	Professional	TC	$32.36	$50.12	$144.54
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.59 / $18.20 / $50.12	Facility	26	$12.59	$18.20	$50.12
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $67.61 / $131.83	Professional		$35.48	$67.61	$131.83
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $20.42 / $44.67	Professional	26	$12.59	$20.42	$44.67
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $47.86 / $100.00	Professional	TC	$26.92	$47.86	$100.00

New York rates for HCPCS 71111