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 $53.70 / $58.88 / $128.82	Facility	26	$53.70	$58.88	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $245.47 / $676.08	Professional		$134.90	$245.47	$676.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $53.70 / $162.18	Professional	26	$43.65	$53.70	$162.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $134.90 / $316.23	Professional	TC	$83.18	$134.90	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $91.20 / $107.15	Professional		$91.20	$91.20	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $44.67 / $257.04	Professional	26	$25.70	$44.67	$257.04
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $154.88 / $154.88 / $154.88	Professional	TC	$154.88	$154.88	$154.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $165.96 / $478.63	Professional		$128.82	$165.96	$478.63
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $54.95 / $114.82	Professional	26	$44.67	$54.95	$114.82
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $107.15 / $309.03	Professional	TC	$87.10	$107.15	$309.03
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $128.82 / $199.53	Professional		$69.18	$128.82	$199.53
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $75.86	Facility	26	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $302.00 / $977.24	Professional		$131.83	$302.00	$977.24
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $70.79 / $199.53	Professional	26	$37.15	$70.79	$199.53
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $204.17 / $724.44	Professional	TC	$85.11	$204.17	$724.44
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $181.97 / $281.84	Professional		$138.04	$181.97	$281.84
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $66.07 / $169.82	Professional	26	$46.77	$66.07	$169.82
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $123.03 / $186.21	Professional	TC	$91.20	$123.03	$186.21
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $213.80 / $331.13	Professional		$123.03	$213.80	$331.13
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $67.61 / $117.49	Professional	26	$38.90	$67.61	$117.49
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $147.91 / $218.78	Professional	TC	$77.62	$147.91	$218.78
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $39.81	Professional	26	$34.67	$34.67	$39.81
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $162.18 / $380.19	Professional		$162.18	$162.18	$380.19
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $57.54 / $100.00	Professional	26	$52.48	$57.54	$100.00
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $213.80 / $346.74	Professional		$177.83	$213.80	$346.74
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $69.18 / $125.89	Professional	26	$56.23	$69.18	$125.89
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $144.54 / $257.04	Professional	TC	$123.03	$144.54	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $199.53 / $870.96	Professional		$125.89	$199.53	$870.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $64.57 / $316.23	Professional	26	$43.65	$64.57	$316.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $131.83 / $588.84	Professional	TC	$87.10	$131.83	$588.84
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $186.21	Facility	26	$38.90	$54.95	$186.21
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $199.53 / $380.19	Professional		$123.03	$199.53	$380.19
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $67.61 / $138.04	Professional	26	$38.90	$67.61	$138.04
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $141.25 / $245.47	Professional	TC	$77.62	$141.25	$245.47

New York rates for HCPCS 72125