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 $9.55 / $14.45 / $28.18	Facility	26	$9.55	$14.45	$28.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $112.20	Professional		$32.36	$50.12	$112.20
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.45 / $30.20	Professional	26	$8.91	$14.45	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $70.79	Professional	TC	$22.91	$34.67	$70.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $36.31	Professional		$30.20	$30.20	$36.31
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $6.46 / $6.46	Professional	26	$6.46	$6.46	$6.46
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $41.69 / $95.50	Professional		$33.11	$41.69	$95.50
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $10.47 / $22.91	Professional	26	$8.51	$10.47	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.90 / $67.61	Professional	TC	$24.55	$30.90	$67.61
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $45.71 / $63.10	Professional		$16.98	$45.71	$63.10
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $60.26 / $158.49	Professional		$35.48	$60.26	$158.49
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $16.60 / $41.69	Professional	26	$8.51	$16.60	$41.69
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $45.71 / $154.88	Professional	TC	$25.70	$45.71	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $60.26 / $93.33	Professional		$45.71	$60.26	$93.33
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $16.98 / $38.90	Professional	26	$11.48	$16.98	$38.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $47.86 / $67.61	Professional	TC	$35.48	$47.86	$67.61
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $57.54 / $104.71	Professional		$30.20	$57.54	$104.71
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.49 / $28.18	Professional	26	$8.71	$15.49	$28.18
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $42.66 / $77.62	Professional	TC	$24.55	$42.66	$77.62
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $42.66 / $42.66	Professional		$41.69	$42.66	$42.66
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $12.30 / $13.80	Professional	26	$12.30	$12.30	$13.80
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $58.88 / $117.49	Professional		$48.98	$58.88	$117.49
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $16.98 / $31.62	Professional	26	$13.49	$16.98	$31.62
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $41.69 / $85.11	Professional	TC	$35.48	$41.69	$85.11
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $169.82	Professional		$38.90	$60.26	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.14 / $53.70	Professional	26	$10.00	$15.14	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $44.67 / $131.83	Professional	TC	$28.18	$44.67	$131.83
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $35.48	Facility	26	$9.77	$13.80	$35.48
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $57.54 / $112.20	Professional		$36.31	$57.54	$112.20
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $15.49 / $33.88	Professional	26	$9.77	$15.49	$33.88
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $42.66 / $87.10	Professional	TC	$24.55	$42.66	$87.10

New York rates for HCPCS 72074