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 $44.67 / $138.04 / $524.81	Facility		$44.67	$138.04	$524.81
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.08 / $11.22 / $30.20	Facility	26	$7.08	$11.22	$30.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $31.62 / $107.15 / $371.54	Facility	TC	$31.62	$107.15	$371.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.77 / $46.77 / $144.54	Professional		$9.77	$46.77	$144.54
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $16.60 / $45.71	Professional	26	$8.51	$16.60	$45.71
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $20.89 / $93.33 / $181.97	Professional	50	$20.89	$93.33	$181.97
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $41.69 / $91.20	Professional	TC	$24.55	$41.69	$91.20
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $34.67 / $72.44	Professional		$28.18	$34.67	$72.44
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $7.76 / $14.13	Professional	26	$5.37	$7.76	$14.13
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	50	$47.86	$47.86	$47.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $30.90 / $39.81	Professional	TC	$20.89	$30.90	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $38.90 / $91.20	Professional		$30.90	$38.90	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $8.32 / $19.05	Professional	26	$6.61	$8.32	$19.05
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $45.71 / $56.23 / $125.89	Professional	50	$45.71	$56.23	$125.89
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $30.20 / $63.10	Professional	TC	$23.99	$30.20	$63.10
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $43.65	Facility		$13.18	$13.18	$43.65
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $43.65 / $56.23	Professional		$13.18	$43.65	$56.23
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $77.62 / $104.71 / $229.09	Facility		$77.62	$104.71	$229.09
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.19 / $10.23 / $14.79	Facility	26	$2.19	$10.23	$14.79
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $7.41 / $34.67 / $48.98	Facility	TC	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $54.95 / $151.36	Professional		$31.62	$54.95	$151.36
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $13.49 / $33.11	Professional	26	$7.41	$13.49	$33.11
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $41.69 / $144.54	Professional	TC	$23.99	$41.69	$144.54
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $117.49	Facility		$28.18	$43.65	$117.49
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $23.99 / $23.99 / $23.99	Facility	TC	$23.99	$23.99	$23.99
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $57.54 / $89.13	Professional		$43.65	$57.54	$89.13
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.13 / $33.11	Professional	26	$9.55	$14.13	$33.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $46.77 / $72.44	Professional	TC	$35.48	$46.77	$72.44
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $9.12 / $9.12	Facility	TC	$9.12	$9.12	$9.12
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $52.48 / $95.50	Professional		$25.12	$52.48	$95.50
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.02 / $21.38	Professional	26	$7.41	$12.02	$21.38
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $40.74 / $74.13	Professional	TC	$19.50	$40.74	$74.13
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $29.51 / $44.67 / $48.98	Professional		$29.51	$44.67	$48.98
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $6.76 / $8.51	Professional	26	$6.76	$6.76	$8.51
Fidelis Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $91.20 / $91.20	Professional	50	$91.20	$91.20	$91.20
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $117.49 / $354.81	Facility		$34.67	$117.49	$354.81
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.84 / $89.13 / $316.23	Facility	TC	$28.84	$89.13	$316.23
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $39.81 / $69.18	Professional		$38.02	$39.81	$69.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $10.72 / $21.38	Professional	26	$10.72	$10.72	$21.38
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $21.38 / $93.33 / $138.04	Professional	50	$21.38	$93.33	$138.04
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $50.12 / $75.86	Professional	TC	$33.11	$50.12	$75.86
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $31.62 / $64.57 / $53,703.18	Facility		$31.62	$64.57	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $53.70 / $107.15	Professional		$44.67	$53.70	$107.15
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $13.18 / $23.99	Professional	26	$10.72	$13.18	$23.99
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $39.81 / $83.18	Professional	TC	$33.88	$39.81	$83.18
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 $34.67 / $53.70 / $144.54	Professional		$34.67	$53.70	$144.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $11.75 / $60.26	Professional	26	$7.94	$11.75	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $43.65 / $123.03	Professional	TC	$26.92	$43.65	$123.03
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.14 / $27.54 / $81.28	Facility		$15.14	$27.54	$81.28
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $10.72 / $29.51	Facility	26	$7.41	$10.72	$29.51
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $20.42 / $64.57	Facility	TC	$9.12	$20.42	$64.57
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $52.48 / $102.33	Professional		$25.12	$52.48	$102.33
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $12.02 / $26.30	Professional	26	$7.41	$12.02	$26.30
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $40.74 / $79.43	Professional	TC	$19.50	$40.74	$79.43

New York rates for HCPCS 73562