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 $35.48 / $102.33 / $354.81	Facility		$35.48	$102.33	$354.81
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $9.77 / $20.89	Facility	26	$7.08	$9.77	$20.89
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $87.10 / $346.74	Facility	TC	$26.30	$87.10	$346.74
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $34.67 / $102.33	Professional		$8.71	$34.67	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $12.88 / $38.02	Professional	26	$7.94	$12.88	$38.02
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $18.62 / $131.83 / $177.83	Professional	50	$18.62	$131.83	$177.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.90 / $61.66	Professional	TC	$19.05	$30.90	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $29.51 / $42.66	Professional		$27.54	$29.51	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.79 / $7.76 / $13.18	Professional	26	$4.79	$7.76	$13.18
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $33.88 / $39.81	Professional	TC	$33.88	$33.88	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $34.67 / $75.86	Professional		$28.18	$34.67	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $8.13 / $18.20	Professional	26	$6.61	$8.13	$18.20
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $41.69 / $51.29 / $109.65	Professional	50	$41.69	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $26.30 / $53.70	Professional	TC	$21.38	$26.30	$53.70
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.59 / $12.59 / $36.31	Facility		$12.59	$12.59	$36.31
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.59 / $36.31 / $48.98	Professional		$12.59	$36.31	$48.98
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $79.43 / $114.82	Facility		$64.57	$79.43	$114.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.14 / $10.00 / $14.13	Facility	26	$2.14	$10.00	$14.13
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.31 / $29.51 / $41.69	Facility	TC	$6.31	$29.51	$41.69
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $47.86 / $123.03	Professional		$27.54	$47.86	$123.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.88 / $30.90	Professional	26	$7.08	$12.88	$30.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $36.31 / $97.72	Professional	TC	$20.42	$36.31	$97.72
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $35.48 / $95.50	Facility		$22.91	$35.48	$95.50
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $20.42 / $20.42	Facility	TC	$20.42	$20.42	$20.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $48.98 / $75.86	Professional		$37.15	$48.98	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $12.30 / $30.20	Professional	26	$8.71	$12.30	$30.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $38.90 / $56.23	Professional	TC	$28.84	$38.90	$56.23
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $9.77 / $9.77	Facility		$9.77	$9.77	$9.77
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $5.89 / $5.89 / $5.89	Facility	TC	$5.89	$5.89	$5.89
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $45.71 / $83.18	Professional		$27.54	$45.71	$83.18
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.48 / $20.89	Professional	26	$7.94	$11.48	$20.89
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $34.67 / $63.10	Professional	TC	$19.50	$34.67	$63.10
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $79.43 / $251.19	Facility		$27.54	$79.43	$251.19
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $33.11 / $144.54 / $380.19	Facility	TC	$33.11	$144.54	$380.19
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $53.70	Professional		$35.48	$35.48	$53.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $10.47 / $21.38	Professional	26	$9.12	$10.47	$21.38
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $70.79 / $93.33 / $109.65	Professional	50	$70.79	$93.33	$109.65
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $53.70 / $53,703.18	Facility		$26.92	$53.70	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $46.77 / $93.33	Professional		$39.81	$46.77	$93.33
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $12.59 / $23.44	Professional	26	$10.47	$12.59	$23.44
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $34.67 / $70.79	Professional	TC	$28.84	$34.67	$70.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $181.97 / $213.80	Facility		$91.20	$181.97	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $46.77 / $138.04	Professional		$30.20	$46.77	$138.04
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $11.48 / $53.70	Professional	26	$7.76	$11.48	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $36.31 / $107.15	Professional	TC	$22.39	$36.31	$107.15
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $9.77 / $22.39 / $47.86	Facility		$9.77	$22.39	$47.86
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $10.23 / $16.98	Facility	26	$7.08	$10.23	$16.98
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $5.89 / $15.49 / $33.11	Facility	TC	$5.89	$15.49	$33.11
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $44.67 / $83.18	Professional		$27.54	$44.67	$83.18
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.59 / $11.48 / $21.88	Professional	26	$7.59	$11.48	$21.88
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $33.11 / $63.10	Professional	TC	$19.50	$33.11	$63.10

New York rates for HCPCS 73552