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 $33.88 / $107.15 / $478.63	Facility		$33.88	$107.15	$478.63
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.31 / $10.72 / $21.88	Facility	26	$6.31	$10.72	$21.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $72.44 / $331.13	Facility	TC	$25.70	$72.44	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $38.90 / $100.00	Professional		$14.79	$38.90	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.45 / $38.90	Professional	26	$7.08	$14.45	$38.90
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $33.11 / $87.10 / $138.04	Professional	50	$33.11	$87.10	$138.04
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $11.22 / $23.99 / $123.03	Professional	52	$11.22	$23.99	$123.03
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $29.51 / $63.10	Professional	TC	$16.98	$29.51	$63.10
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $28.18 / $39.81	Professional		$23.44	$28.18	$39.81
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.79 / $6.76 / $36.31	Professional	26	$4.79	$6.76	$36.31
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	TC	$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $32.36 / $72.44	Professional		$25.12	$32.36	$72.44
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $7.41 / $16.98	Professional	26	$5.89	$7.41	$16.98
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $46.77 / $109.65	Professional	50	$38.02	$46.77	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $24.55 / $52.48	Professional	TC	$19.50	$24.55	$52.48
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $35.48	Facility		$11.75	$11.75	$35.48
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $35.48 / $47.86	Professional		$11.75	$35.48	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $87.10 / $186.21	Facility		$61.66	$87.10	$186.21
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $1.95 / $9.12 / $13.18	Facility	26	$1.95	$9.12	$13.18
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	TC	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $45.71 / $125.89	Professional		$26.92	$45.71	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.02 / $30.20	Professional	26	$6.61	$12.02	$30.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $33.88 / $117.49	Professional	TC	$19.50	$33.88	$117.49
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $34.67 / $93.33	Facility		$22.39	$34.67	$93.33
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $19.95 / $19.95 / $19.95	Facility	TC	$19.95	$19.95	$19.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $46.77 / $72.44	Professional		$35.48	$46.77	$72.44
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.59 / $27.54	Professional	26	$8.51	$12.59	$27.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.02 / $53.70	Professional	TC	$28.18	$38.02	$53.70
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $10.00 / $10.00	Facility		$10.00	$10.00	$10.00
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 $20.89 / $43.65 / $79.43	Professional		$20.89	$43.65	$79.43
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.47 / $19.05	Professional	26	$6.61	$10.47	$19.05
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $33.11 / $60.26	Professional	TC	$16.22	$33.11	$60.26
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $8.32 / $8.32	Professional	26	$8.32	$8.32	$8.32
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $37.15 / $100.00 / $186.21	Facility		$37.15	$100.00	$186.21
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $162.18 / $323.59	Facility	TC	$24.55	$162.18	$323.59
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $45.71	Professional		$33.11	$33.11	$45.71
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $9.55 / $17.38	Professional	26	$7.59	$9.55	$17.38
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $87.10 / $87.10	Professional	50	$87.10	$87.10	$87.10
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	52	$16.60	$16.60	$16.60
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $41.69 / $41.69	Professional	TC	$41.69	$41.69	$41.69
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $52.48 / $53,703.18	Facility		$25.70	$52.48	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $44.67 / $89.13	Professional		$38.02	$44.67	$89.13
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.75 / $21.38	Professional	26	$9.55	$11.75	$21.38
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $67.61	Professional	TC	$28.18	$33.11	$67.61
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 $28.84 / $44.67 / $131.83	Professional		$28.84	$44.67	$131.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.96 / $51.29	Professional	26	$7.08	$10.96	$51.29
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $34.67 / $112.20	Professional	TC	$21.88	$34.67	$112.20
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $23.44 / $69.18	Facility		$10.00	$23.44	$69.18
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $25.70	Facility	26	$6.61	$9.33	$25.70
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $16.98 / $52.48	Facility	TC	$6.03	$16.98	$52.48
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $43.65 / $85.11	Professional		$20.89	$43.65	$85.11
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.47 / $23.44	Professional	26	$6.61	$10.47	$23.44
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $33.11 / $64.57	Professional	TC	$16.22	$33.11	$64.57

New York rates for HCPCS 73100