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 Typical Low / Median / Typical High $40.74 / $123.03 / $389.05	Facility		$40.74	$123.03	$389.05
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.51 / $12.30 / $28.84	Facility	26	$8.51	$12.30	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $29.51 / $100.00 / $354.81	Facility	TC	$29.51	$100.00	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $53.70 / $147.91	Professional		$30.20	$53.70	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.14 / $38.90	Professional	26	$10.00	$15.14	$38.90
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $74.13	Professional	TC	$22.91	$38.90	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $33.11 / $58.88	Professional		$26.92	$33.11	$58.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $8.71 / $16.22	Professional	26	$5.89	$8.71	$16.22
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $35.48 / $51.29	Professional	TC	$18.62	$35.48	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $37.15 / $93.33	Professional		$29.51	$37.15	$93.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $22.91	Professional	26	$7.76	$9.77	$22.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $27.54 / $57.54	Professional	TC	$21.88	$27.54	$57.54
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $39.81	Facility		$15.85	$15.85	$39.81
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $39.81 / $56.23	Professional		$15.85	$39.81	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $70.79 / $95.50 / $234.42	Facility		$70.79	$95.50	$234.42
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.76 / $31.62 / $44.67	Facility	TC	$6.76	$31.62	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $54.95 / $147.91	Professional		$31.62	$54.95	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.85 / $38.90	Professional	26	$8.71	$15.85	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $38.90 / $134.90	Professional	TC	$22.91	$38.90	$134.90
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $39.81 / $104.71	Facility		$25.12	$39.81	$104.71
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Facility	TC	$21.38	$21.38	$21.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $54.95 / $87.10	Professional		$41.69	$54.95	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.85 / $31.62	Professional	26	$10.72	$15.85	$31.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $42.66 / $64.57	Professional	TC	$32.36	$42.66	$64.57
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	TC	$9.12	$9.12	$9.12
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $51.29 / $93.33	Professional		$27.54	$51.29	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $25.70	Professional	26	$8.91	$14.13	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $37.15 / $67.61	Professional	TC	$21.38	$37.15	$67.61
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $7.94 / $8.91	Professional	26	$7.94	$7.94	$8.91
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $138.04 / $338.84	Facility		$33.11	$138.04	$338.84
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $27.54 / $72.44 / $269.15	Facility	TC	$27.54	$72.44	$269.15
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $39.81 / $64.57	Professional		$37.15	$39.81	$64.57
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.88 / $22.91	Professional	26	$11.22	$12.88	$22.91
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $44.67	Professional	TC	$44.67	$44.67	$44.67
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $29.51 / $58.88 / $53,703.18	Facility		$29.51	$58.88	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $52.48 / $104.71	Professional		$43.65	$52.48	$104.71
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $28.84	Professional	26	$12.88	$15.49	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $36.31 / $75.86	Professional	TC	$30.90	$36.31	$75.86
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $234.42 / $257.04	Facility		$67.61	$234.42	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $53.70 / $141.25	Professional		$33.88	$53.70	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $14.13 / $79.43	Professional	26	$9.33	$14.13	$79.43
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $39.81 / $141.25	Professional	TC	$24.55	$39.81	$141.25
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $26.30 / $85.11	Facility		$15.14	$26.30	$85.11
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $35.48	Facility	26	$8.91	$12.59	$35.48
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $17.78 / $66.07	Facility	TC	$9.12	$17.78	$66.07
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $51.29 / $100.00	Professional		$27.54	$51.29	$100.00
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.13 / $31.62	Professional	26	$8.91	$14.13	$31.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $37.15 / $75.86	Professional	TC	$21.38	$37.15	$75.86

New York rates for HCPCS 72100