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 $50.12 / $58.88 / $128.82	Facility	26	$50.12	$58.88	$128.82
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $234.42 / $724.44	Professional		$125.89	$234.42	$724.44
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $60.26 / $173.78	Professional	26	$43.65	$60.26	$173.78
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $128.82 / $316.23	Professional	TC	$81.28	$128.82	$316.23
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $107.15	Professional		$93.33	$93.33	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $70.79 / $251.19	Professional	26	$26.92	$70.79	$251.19
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 $43.65 / $53.70 / $109.65	Professional	26	$43.65	$53.70	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $107.15 / $302.00	Professional	TC	$85.11	$107.15	$302.00
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $128.82 / $194.98	Professional		$69.18	$128.82	$194.98
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 $36.31 / $70.79 / $199.53	Professional	26	$36.31	$70.79	$199.53
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $204.17 / $724.44	Professional	TC	$83.18	$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 / $165.96	Professional	26	$46.77	$66.07	$165.96
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $120.23 / $186.21	Professional	TC	$91.20	$120.23	$186.21
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $208.93 / $331.13	Professional		$123.03	$208.93	$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 / $144.54 / $218.78	Professional	TC	$77.62	$144.54	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $162.18 / $331.13	Professional		$134.90	$162.18	$331.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $57.54 / $85.11	Professional	26	$56.23	$57.54	$85.11
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	TC	$117.49	$117.49	$117.49
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 $120.23 / $141.25 / $257.04	Professional	TC	$120.23	$141.25	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $199.53 / $851.14	Professional		$123.03	$199.53	$851.14
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $64.57 / $302.00	Professional	26	$43.65	$64.57	$302.00
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $128.82 / $588.84	Professional	TC	$85.11	$128.82	$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 / $138.04 / $245.47	Professional	TC	$77.62	$138.04	$245.47

New York rates for HCPCS 72131