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 $85.11 / $112.20 / $186.21	Facility	26	$85.11	$112.20	$186.21
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $251.19 / $489.78 / $1,479.11	Professional		$251.19	$489.78	$1,479.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $69.18 / $128.82 / $275.42	Professional	26	$69.18	$128.82	$275.42
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $147.91 / $281.84 / $1,995.26	Professional	52	$147.91	$281.84	$1,995.26
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $302.00 / $602.56	Professional	TC	$177.83	$302.00	$602.56
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $169.82 / $245.47	Professional		$158.49	$169.82	$245.47
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $38.90 / $54.95	Professional	26	$38.90	$38.90	$54.95
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $302.00 / $870.96	Professional		$234.42	$302.00	$870.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $79.43 / $147.91	Professional	26	$64.57	$79.43	$147.91
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $213.80 / $602.56	Professional	TC	$169.82	$213.80	$602.56
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $263.03 / $363.08	Professional		$100.00	$263.03	$363.08
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $16.98 / $79.43 / $112.20	Facility	26	$16.98	$79.43	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $524.81 / $1,995.26	Professional		$234.42	$524.81	$1,995.26
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $109.65 / $257.04	Professional	26	$53.70	$109.65	$257.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $398.11 / $1,584.89	Professional	TC	$165.96	$398.11	$1,584.89
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $239.88 / $323.59 / $512.86	Professional		$239.88	$323.59	$512.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $95.50 / $331.13	Professional	26	$67.61	$95.50	$331.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $177.83 / $234.42 / $354.81	Professional	TC	$177.83	$234.42	$354.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $380.19 / $588.84	Professional		$213.80	$380.19	$588.84
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $109.65 / $158.49	Professional	26	$57.54	$109.65	$158.49
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $275.42 / $380.19	Professional	TC	$151.36	$275.42	$380.19
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	26	$104.71	$104.71	$104.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $316.23 / $575.44	Professional		$288.40	$316.23	$575.44
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $87.10 / $89.13 / $147.91	Professional	26	$87.10	$89.13	$147.91
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $323.59 / $724.44 / $812.83	Professional		$323.59	$724.44	$812.83
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $91.20 / $181.97 / $208.93	Professional	26	$91.20	$181.97	$208.93
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $512.86 / $512.86	Professional	TC	$239.88	$512.86	$512.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $218.78 / $331.13 / $1,513.56	Professional		$218.78	$331.13	$1,513.56
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $61.66 / $91.20 / $446.68	Professional	26	$61.66	$91.20	$446.68
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $165.96 / $251.19 / $1,148.15	Professional	TC	$165.96	$251.19	$1,148.15
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $57.54 / $81.28 / $229.09	Facility	26	$57.54	$81.28	$229.09
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $213.80 / $371.54 / $676.08	Professional		$213.80	$371.54	$676.08
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $102.33 / $181.97	Professional	26	$57.54	$102.33	$181.97
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $151.36 / $275.42 / $478.63	Professional	TC	$151.36	$275.42	$478.63

New York rates for HCPCS 72195