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 $13.80 / $18.20 / $38.02	Facility	26	$13.80	$18.20	$38.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $89.13 / $213.80	Professional		$51.29	$89.13	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $23.44 / $60.26	Professional	26	$12.88	$23.44	$60.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $52.48 / $112.20	Professional	TC	$33.88	$52.48	$112.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $46.77 / $64.57	Professional		$41.69	$46.77	$64.57
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Professional	26	$12.02	$12.02	$12.02
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $57.54 / $144.54	Professional		$45.71	$57.54	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $12.59 / $35.48	Professional	26	$9.77	$12.59	$35.48
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $44.67 / $95.50	Professional	TC	$36.31	$44.67	$95.50
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $66.07 / $87.10	Professional		$20.42	$66.07	$87.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.55 / $16.60 / $23.44	Facility	26	$3.55	$16.60	$23.44
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $85.11 / $245.47	Professional		$50.12	$85.11	$245.47
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $22.91 / $57.54	Professional	26	$12.30	$22.91	$57.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $64.57 / $223.87	Professional	TC	$38.02	$64.57	$223.87
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $85.11 / $131.83	Professional		$64.57	$85.11	$131.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $21.88 / $54.95	Professional	26	$14.45	$21.88	$54.95
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $70.79 / $100.00	Professional	TC	$52.48	$70.79	$100.00
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $79.43 / $147.91	Professional		$45.71	$79.43	$147.91
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $19.05 / $34.67	Professional	26	$11.75	$19.05	$34.67
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $61.66 / $112.20	Professional	TC	$35.48	$61.66	$112.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.42 / $20.89	Professional	26	$16.98	$20.42	$20.89
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $162.18	Professional		$67.61	$81.28	$162.18
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $38.02	Professional	26	$16.98	$20.89	$38.02
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $125.89	Professional	TC	$51.29	$60.26	$125.89
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $83.18 / $239.88	Professional		$54.95	$83.18	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.50 / $87.10	Professional	26	$13.18	$19.50	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $66.07 / $190.55	Professional	TC	$40.74	$66.07	$190.55
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $16.98 / $58.88	Facility	26	$11.75	$16.98	$58.88
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $79.43 / $158.49	Professional		$45.71	$79.43	$158.49
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $19.05 / $41.69	Professional	26	$11.75	$19.05	$41.69
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $61.66 / $128.82	Professional	TC	$35.48	$61.66	$128.82

New York rates for HCPCS 72052