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 $6.17 / $10.23 / $25.70	Facility	26	$6.17	$10.23	$25.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $27.54 / $69.18	Professional		$18.20	$27.54	$69.18
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $10.23 / $25.70	Professional	26	$6.03	$10.23	$25.70
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $17.38 / $38.90	Professional	TC	$11.75	$17.38	$38.90
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.27 / $4.27 / $11.75	Professional	26	$4.27	$4.27	$11.75
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $22.91 / $52.48	Professional		$18.20	$22.91	$52.48
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.62 / $7.08 / $15.49	Professional	26	$5.62	$7.08	$15.49
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $15.85 / $35.48	Professional	TC	$12.88	$15.85	$35.48
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.22 / $23.44 / $34.67	Professional		$11.22	$23.44	$34.67
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.86 / $8.71 / $12.59	Facility	26	$1.86	$8.71	$12.59
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $33.11 / $93.33	Professional		$19.50	$33.11	$93.33
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $11.22 / $28.18	Professional	26	$5.89	$11.22	$28.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $22.91 / $77.62	Professional	TC	$13.18	$22.91	$77.62
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $32.36 / $50.12	Professional		$24.55	$32.36	$50.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $11.48 / $20.42	Professional	26	$7.76	$11.48	$20.42
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $23.44 / $33.11	Professional	TC	$17.38	$23.44	$33.11
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $31.62 / $57.54	Professional		$16.22	$31.62	$57.54
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $10.23 / $18.20	Professional	26	$6.17	$10.23	$18.20
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $21.38 / $38.90	Professional	TC	$12.02	$21.38	$38.90
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $23.99	Professional		$22.39	$22.39	$23.99
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $8.71 / $16.60	Professional	26	$8.71	$8.71	$16.60
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $33.11 / $63.10	Professional		$27.54	$33.11	$63.10
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $11.22 / $20.42	Professional	26	$8.91	$11.22	$20.42
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $21.88 / $42.66	Professional	TC	$18.20	$21.88	$42.66
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $32.36 / $95.50	Professional		$21.38	$32.36	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.00 / $45.71	Professional	26	$6.61	$10.00	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $22.39 / $66.07	Professional	TC	$14.45	$22.39	$66.07
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.31 / $9.12 / $24.55	Facility	26	$6.31	$9.12	$24.55
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $31.62 / $60.26	Professional		$16.22	$31.62	$60.26
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $10.23 / $22.39	Professional	26	$6.31	$10.23	$22.39
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $21.38 / $44.67	Professional	TC	$12.02	$21.38	$44.67

New York rates for HCPCS 72020