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 $26.92 / $67.61 / $446.68	Facility		$26.92	$67.61	$446.68
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $9.55 / $22.91	Facility	26	$6.61	$9.55	$22.91
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $74.13 / $257.04	Facility	TC	$23.99	$74.13	$257.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $44.67 / $117.49	Professional		$25.70	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.88 / $29.51	Professional	26	$7.08	$12.88	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $28.84 / $52.48	Professional	TC	$17.78	$28.84	$52.48
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $23.99 / $30.90	Professional		$21.38	$23.99	$30.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.68 / $4.79 / $6.61	Professional	26	$4.68	$4.79	$6.61
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $26.30 / $28.84	Professional	TC	$15.49	$26.30	$28.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $30.20 / $69.18	Professional		$23.99	$30.20	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $7.76 / $16.98	Professional	26	$6.03	$7.76	$16.98
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $22.91 / $47.86	Professional	TC	$18.20	$22.91	$47.86
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.30 / $12.30 / $33.11	Facility		$12.30	$12.30	$33.11
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $33.11 / $44.67	Professional		$12.30	$33.11	$44.67
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $79.43 / $194.98	Facility		$58.88	$79.43	$194.98
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 $5.62 / $26.30 / $38.02	Facility	TC	$5.62	$26.30	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $42.66 / $123.03	Professional		$25.70	$42.66	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.30 / $30.20	Professional	26	$6.61	$12.30	$30.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $32.36 / $114.82	Professional	TC	$19.05	$32.36	$114.82
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.42 / $31.62 / $85.11	Facility		$20.42	$31.62	$85.11
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.20 / $18.20 / $18.20	Facility	TC	$18.20	$18.20	$18.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $43.65 / $67.61	Professional		$33.11	$43.65	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.59 / $25.12	Professional	26	$8.51	$12.59	$25.12
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $34.67 / $48.98	Professional	TC	$25.70	$34.67	$48.98
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 $19.95 / $42.66 / $75.86	Professional		$19.95	$42.66	$75.86
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 $15.14 / $31.62 / $56.23	Professional	TC	$15.14	$31.62	$56.23
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $93.33 / $251.19	Facility		$37.15	$93.33	$251.19
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.44 / $66.07 / $316.23	Facility	TC	$23.44	$66.07	$316.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $52.48	Professional		$31.62	$31.62	$52.48
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.00 / $20.42	Professional	26	$9.77	$10.00	$20.42
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $24.55 / $48.98 / $53,703.18	Facility		$24.55	$48.98	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $42.66 / $85.11	Professional		$36.31	$42.66	$85.11
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 $25.70 / $30.20 / $63.10	Professional	TC	$25.70	$30.20	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $181.97 / $213.80	Facility		$67.61	$181.97	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $128.82	Professional		$28.18	$43.65	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $11.22 / $50.12	Professional	26	$7.41	$11.22	$50.12
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $33.11 / $95.50	Professional	TC	$20.42	$33.11	$95.50
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $21.38 / $69.18	Facility		$15.14	$21.38	$69.18
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $9.77 / $28.18	Facility	26	$6.92	$9.77	$28.18
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $15.14 / $56.23	Facility	TC	$9.12	$15.14	$56.23
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $42.66 / $81.28	Professional		$19.95	$42.66	$81.28
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 $15.14 / $31.62 / $63.10	Professional	TC	$15.14	$31.62	$63.10

New York rates for HCPCS 72220