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 $63.10 / $67.61 / $147.91	Facility	26	$63.10	$67.61	$147.91
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $275.42 / $851.14	Professional		$125.89	$275.42	$851.14
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $63.10 / $204.17	Professional	26	$50.12	$63.10	$204.17
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $173.78 / $436.52	Professional	TC	$79.43	$173.78	$436.52
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $67.61 / $114.82	Professional		$66.07	$67.61	$114.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $50.12 / $288.40	Professional	26	$30.20	$50.12	$288.40
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $213.80 / $616.60	Professional		$165.96	$213.80	$616.60
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $63.10 / $125.89	Professional	26	$51.29	$63.10	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $144.54 / $416.87	Professional	TC	$117.49	$144.54	$416.87
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $173.78 / $257.04	Professional		$81.28	$173.78	$257.04
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $63.10 / $89.13	Facility	26	$13.49	$63.10	$89.13
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $169.82 / $354.81 / $1,230.27	Professional		$169.82	$354.81	$1,230.27
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $85.11 / $213.80	Professional	26	$43.65	$85.11	$213.80
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $257.04 / $870.96	Professional	TC	$112.20	$257.04	$870.96
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $223.87 / $363.08	Professional		$177.83	$223.87	$363.08
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $54.95 / $75.86 / $208.93	Professional	26	$54.95	$75.86	$208.93
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $162.18 / $245.47	Professional	TC	$120.23	$162.18	$245.47
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $426.58	Professional		$158.49	$257.04	$426.58
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $79.43 / $138.04	Professional	26	$45.71	$79.43	$138.04
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $186.21 / $288.40	Professional	TC	$104.71	$186.21	$288.40
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $47.86 / $47.86	Professional	26	$27.54	$47.86	$47.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $181.97 / $208.93 / $416.87	Professional		$181.97	$208.93	$416.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $66.07 / $125.89	Professional	26	$57.54	$66.07	$125.89
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $162.18 / $162.18 / $162.18	Professional	TC	$162.18	$162.18	$162.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $223.87 / $269.15 / $446.68	Professional		$223.87	$269.15	$446.68
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $85.11 / $147.91	Professional	26	$70.79	$85.11	$147.91
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $181.97 / $323.59	Professional	TC	$154.88	$181.97	$323.59
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $251.19 / $1,148.15	Professional		$158.49	$251.19	$1,148.15
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $77.62 / $371.54	Professional	26	$52.48	$77.62	$371.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $173.78 / $776.25	Professional	TC	$114.82	$173.78	$776.25
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $45.71 / $64.57 / $194.98	Facility	26	$45.71	$64.57	$194.98
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $257.04 / $489.78	Professional		$158.49	$257.04	$489.78
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $45.71 / $79.43 / $158.49	Professional	26	$45.71	$79.43	$158.49
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $177.83 / $331.13	Professional	TC	$102.33	$177.83	$331.13

New York rates for HCPCS 71260