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 $41.69 / $109.65 / $602.56	Facility		$41.69	$109.65	$602.56
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $13.18 / $28.84	Facility	26	$8.71	$13.18	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.90 / $93.33 / $295.12	Facility	TC	$30.90	$93.33	$295.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $54.95 / $147.91	Professional		$33.11	$54.95	$147.91
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $14.79 / $34.67	Professional	26	$8.91	$14.79	$34.67
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $120.23 / $269.15	Professional	50	$38.02	$120.23	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $32.36 / $69.18	Professional	TC	$22.91	$32.36	$69.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $33.88 / $36.31	Professional		$30.20	$33.88	$36.31
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $6.17 / $6.17	Professional	26	$6.17	$6.17	$6.17
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $39.81 / $89.13	Professional		$32.36	$39.81	$89.13
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.00 / $22.39	Professional	26	$7.94	$10.00	$22.39
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $48.98 / $60.26 / $125.89	Professional	50	$48.98	$60.26	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $30.20 / $61.66	Professional	TC	$24.55	$30.20	$61.66
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $15.85 / $41.69	Facility		$15.85	$15.85	$41.69
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $41.69 / $57.54	Professional		$15.85	$41.69	$57.54
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $89.13 / $154.88	Facility		$74.13	$89.13	$154.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.63 / $12.30 / $17.38	Facility	26	$2.63	$12.30	$17.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.08 / $33.11 / $47.86	Facility	TC	$7.08	$33.11	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $56.23 / $147.91	Professional		$32.36	$56.23	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.85 / $38.02	Professional	26	$8.71	$15.85	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $42.66 / $109.65	Professional	TC	$23.44	$42.66	$109.65
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $40.74 / $109.65	Facility		$26.30	$40.74	$109.65
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Facility	TC	$24.55	$24.55	$24.55
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $56.23 / $87.10	Professional		$43.65	$56.23	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.85 / $36.31	Professional	26	$10.72	$15.85	$36.31
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $44.67 / $64.57	Professional	TC	$33.11	$44.67	$64.57
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.24 / $7.24 / $7.24	Facility	TC	$7.24	$7.24	$7.24
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $53.70 / $97.72	Professional		$33.11	$53.70	$97.72
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $14.13 / $25.70	Professional	26	$9.77	$14.13	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $39.81 / $70.79	Professional	TC	$23.99	$39.81	$70.79
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $53.70 / $144.54 / $338.84	Facility		$53.70	$144.54	$338.84
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $77.62 / $218.78	Facility	TC	$31.62	$77.62	$218.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $42.66 / $100.00	Professional		$42.66	$42.66	$100.00
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.88 / $21.88	Professional	26	$11.48	$12.88	$21.88
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $12.88 / $42.66 / $42.66	Professional	50	$12.88	$42.66	$42.66
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $61.66 / $53,703.18	Facility		$30.90	$61.66	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $53.70 / $107.15	Professional		$45.71	$53.70	$107.15
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $28.84	Professional	26	$12.88	$15.49	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $38.90 / $79.43	Professional	TC	$33.11	$38.90	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $234.42 / $257.04	Facility		$151.36	$234.42	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $54.95 / $162.18	Professional		$35.48	$54.95	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $57.54	Professional	26	$9.55	$14.13	$57.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $41.69 / $120.23	Professional	TC	$26.30	$41.69	$120.23
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.02 / $26.92 / $57.54	Facility		$12.02	$26.92	$57.54
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.71 / $12.59 / $20.89	Facility	26	$8.71	$12.59	$20.89
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.24 / $19.05 / $40.74	Facility	TC	$7.24	$19.05	$40.74
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $52.48 / $97.72	Professional		$33.11	$52.48	$97.72
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $14.13 / $26.92	Professional	26	$9.33	$14.13	$26.92
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $38.02 / $70.79	Professional	TC	$23.99	$38.02	$70.79

New York rates for HCPCS 73521