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 $28.18 / $81.28 / $758.58	Facility		$28.18	$81.28	$758.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $22.91	Facility	26	$6.61	$9.33	$22.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.50 / $69.18 / $354.81	Facility	TC	$19.50	$69.18	$354.81
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $38.90 / $102.33	Professional		$22.91	$38.90	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $11.22 / $30.20	Professional	26	$7.24	$11.22	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $22.91 / $50.12	Professional	TC	$15.14	$22.91	$50.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $22.91 / $30.20	Professional		$19.05	$22.91	$30.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.68 / $7.76 / $42.66	Professional	26	$4.68	$7.76	$42.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $26.92 / $67.61	Professional		$20.89	$26.92	$67.61
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.76 / $17.38	Professional	26	$6.17	$7.76	$17.38
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $18.62 / $44.67	Professional	TC	$14.79	$18.62	$44.67
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $26.92	Facility		$12.30	$12.30	$26.92
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $26.92 / $38.90	Professional		$12.30	$26.92	$38.90
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $67.61 / $190.55	Facility		$47.86	$67.61	$190.55
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $4.57 / $21.38 / $30.20	Facility	TC	$4.57	$21.38	$30.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $40.74 / $114.82	Professional		$23.44	$40.74	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $12.30 / $30.90	Professional	26	$6.76	$12.30	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $28.84 / $91.20	Professional	TC	$15.85	$28.84	$91.20
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.98 / $26.30 / $70.79	Facility		$16.98	$26.30	$70.79
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $17.38 / $17.38 / $17.38	Facility	TC	$17.38	$17.38	$17.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $36.31 / $58.88	Professional		$28.84	$36.31	$58.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.59 / $25.70	Professional	26	$8.51	$12.59	$25.70
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $28.84 / $40.74	Professional	TC	$21.38	$28.84	$40.74
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.59 / $7.59 / $7.59	Facility	TC	$7.59	$7.59	$7.59
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $36.31 / $66.07	Professional		$18.62	$36.31	$66.07
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.96 / $19.95	Professional	26	$6.92	$10.96	$19.95
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $25.12 / $45.71	Professional	TC	$13.18	$25.12	$45.71
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $147.91 / $389.05	Facility		$47.86	$147.91	$389.05
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $69.18 / $316.23	Facility	TC	$26.30	$69.18	$316.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.88 / $52.48	Professional		$28.18	$33.88	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $10.00 / $14.79	Professional	26	$9.55	$10.00	$14.79
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $36.31 / $36.31	Professional	TC	$36.31	$36.31	$36.31
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $38.90 / $53,703.18	Facility		$19.50	$38.90	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.90 / $72.44	Professional		$33.11	$38.90	$72.44
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.30 / $22.39	Professional	26	$10.00	$12.30	$22.39
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $26.30 / $51.29	Professional	TC	$22.39	$26.30	$51.29
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 $25.12 / $37.15 / $109.65	Professional		$25.12	$37.15	$109.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $50.12	Professional	26	$7.41	$10.96	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $26.92 / $93.33	Professional	TC	$17.78	$26.92	$93.33
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $20.89 / $69.18	Facility		$12.59	$20.89	$69.18
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $9.77 / $43.65	Facility	26	$6.92	$9.77	$43.65
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.59 / $14.45 / $60.26	Facility	TC	$7.59	$14.45	$60.26
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $36.31 / $70.79	Professional		$18.62	$36.31	$70.79
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $10.96 / $24.55	Professional	26	$6.92	$10.96	$24.55
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.18 / $25.12 / $52.48	Professional	TC	$13.18	$25.12	$52.48

New York rates for HCPCS 72170