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 $5.89 / $9.55 / $24.55	Facility	26	$5.89	$9.55	$24.55
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $14.13 / $35.48 / $102.33	Facility	TC	$14.13	$35.48	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.13 / $25.12 / $57.54	Professional		$14.13	$25.12	$57.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $10.23 / $24.55	Professional	26	$6.03	$10.23	$24.55
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $61.66 / $194.98	Professional	50	$38.90	$61.66	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $16.98 / $36.31	Professional	TC	$10.96	$16.98	$36.31
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.45 / $17.78 / $37.15	Professional		$14.45	$17.78	$37.15
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $20.42 / $52.48	Professional		$16.22	$20.42	$52.48
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $6.92 / $15.49	Professional	26	$5.37	$6.92	$15.49
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $23.99 / $30.90 / $72.44	Professional	50	$23.99	$30.90	$72.44
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.72 / $13.80 / $32.36	Professional	TC	$10.72	$13.80	$32.36
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.72 / $19.50 / $30.20	Professional		$10.72	$19.50	$30.20
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.82 / $8.32 / $12.02	Facility	26	$1.82	$8.32	$12.02
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.31 / $15.49 / $22.39	Facility	TC	$3.31	$15.49	$22.39
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $32.36 / $95.50	Professional		$18.62	$32.36	$95.50
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $10.96 / $26.92	Professional	26	$5.89	$10.96	$26.92
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $21.38 / $67.61	Professional	TC	$11.75	$21.38	$67.61
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $14.45 / $14.45 / $14.45	Facility	TC	$14.45	$14.45	$14.45
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $29.51 / $45.71	Professional		$22.39	$29.51	$45.71
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $20.89	Professional	26	$7.41	$10.96	$20.89
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $20.89 / $30.20	Professional	TC	$15.49	$20.89	$30.20
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $6.03 / $6.03	Facility	TC	$6.03	$6.03	$6.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $28.18 / $51.29	Professional		$15.85	$28.18	$51.29
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $9.77 / $17.38	Professional	26	$6.03	$9.77	$17.38
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $18.20 / $33.11	Professional	TC	$11.48	$18.20	$33.11
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.98 / $67.61 / $316.23	Facility	TC	$16.98	$67.61	$316.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $24.55 / $29.51	Professional		$24.55	$24.55	$29.51
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.12 / $18.20	Professional	26	$7.76	$9.12	$18.20
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $24.55 / $28.84 / $56.23	Professional		$24.55	$28.84	$56.23
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $10.72 / $19.50	Professional	26	$8.91	$10.72	$19.50
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $18.20 / $37.15	Professional	TC	$15.49	$18.20	$37.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.84 / $95.50	Professional		$19.05	$28.84	$95.50
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $10.00 / $45.71	Professional	26	$6.46	$10.00	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $20.42 / $87.10	Professional	TC	$12.59	$20.42	$87.10
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $8.71 / $24.55	Facility	26	$6.03	$8.71	$24.55
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $11.48 / $45.71	Facility	TC	$6.03	$11.48	$45.71
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $28.18 / $54.95	Professional		$15.85	$28.18	$54.95
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $9.77 / $21.38	Professional	26	$6.03	$9.77	$21.38
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $18.20 / $38.02	Professional	TC	$11.48	$18.20	$38.02

New York rates for HCPCS 73020