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 $34.67 / $100.00 / $380.19	Facility		$34.67	$100.00	$380.19
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.31 / $9.12 / $21.88	Facility	26	$6.31	$9.12	$21.88
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $91.20 / $331.13	Facility	TC	$26.30	$91.20	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.51 / $33.88 / $100.00	Professional		$8.51	$33.88	$100.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $14.13 / $39.81	Professional	26	$7.08	$14.13	$39.81
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $17.78 / $79.43 / $199.53	Professional	50	$17.78	$79.43	$199.53
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $45.71 / $52.48	Professional	52	$28.18	$45.71	$52.48
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $32.36 / $74.13	Professional	TC	$19.05	$32.36	$74.13
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $27.54 / $40.74	Professional		$22.91	$27.54	$40.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.47 / $7.24 / $39.81	Professional	26	$4.47	$7.24	$39.81
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $37.15 / $37.15 / $39.81	Professional	50	$37.15	$37.15	$39.81
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $21.38 / $45.71	Professional	TC	$17.38	$21.38	$45.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $32.36 / $75.86	Professional		$25.70	$32.36	$75.86
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.89 / $7.41 / $17.38	Professional	26	$5.89	$7.41	$17.38
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.02 / $47.86 / $107.15	Professional	50	$38.02	$47.86	$107.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $24.55 / $52.48	Professional	TC	$19.95	$24.55	$52.48
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.75 / $11.75 / $36.31	Facility		$11.75	$11.75	$36.31
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $36.31 / $47.86	Professional		$11.75	$36.31	$47.86
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $63.10 / $87.10 / $190.55	Facility		$63.10	$87.10	$190.55
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 / $40.74	Facility	TC	$6.03	$28.18	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $45.71 / $128.82	Professional		$26.92	$45.71	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.02 / $31.62	Professional	26	$6.61	$12.02	$31.62
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $34.67 / $120.23	Professional	TC	$19.95	$34.67	$120.23
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 $19.05 / $19.05 / $19.05	Facility	TC	$19.05	$19.05	$19.05
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 $8.13 / $12.02 / $26.92	Professional	26	$8.13	$12.02	$26.92
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $38.02 / $57.54	Professional	TC	$28.18	$38.02	$57.54
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 / $81.28	Professional		$20.89	$43.65	$81.28
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 $15.49 / $33.11 / $61.66	Professional	TC	$15.49	$33.11	$61.66
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $39.81	Professional		$30.90	$30.90	$39.81
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.63 / $3.63 / $11.75	Professional	26	$3.63	$3.63	$11.75
Fidelis Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional	50	$72.44	$72.44	$72.44
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $97.72 / $263.03	Facility		$26.30	$97.72	$263.03
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $158.49 / $346.74	Facility	TC	$28.18	$158.49	$346.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $37.15 / $56.23	Professional		$33.88	$37.15	$56.23
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $9.55 / $14.13	Professional	26	$9.33	$9.55	$14.13
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $63.10 / $67.61 / $114.82	Professional	50	$63.10	$67.61	$114.82
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.30 / $52.48 / $53,703.18	Facility		$26.30	$52.48	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $45.71 / $89.13	Professional		$38.02	$45.71	$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 $28.84 / $33.88 / $67.61	Professional	TC	$28.84	$33.88	$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 / $45.71 / $128.82	Professional		$28.84	$45.71	$128.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $10.72 / $64.57	Professional	26	$7.08	$10.72	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $35.48 / $128.82	Professional	TC	$22.39	$35.48	$128.82
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $22.91 / $72.44	Facility		$10.00	$22.91	$72.44
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $43.65	Facility	26	$6.61	$9.33	$43.65
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $6.03 / $16.22 / $63.10	Facility	TC	$6.03	$16.22	$63.10
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 $15.49 / $33.11 / $64.57	Professional	TC	$15.49	$33.11	$64.57

New York rates for HCPCS 73560