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 26 Typical Low / Median / Typical High $8.51 / $12.30 / $28.84	Facility	26	$8.51	$12.30	$28.84
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $35.48 / $123.03 / $436.52	Facility	TC	$35.48	$123.03	$436.52
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $54.95 / $165.96	Professional		$15.49	$54.95	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $21.88 / $53.70	Professional	26	$10.00	$21.88	$53.70
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $114.82 / $269.15	Professional	50	$38.90	$114.82	$269.15
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $100.00	Professional	TC	$28.18	$45.71	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $48.98 / $85.11	Professional		$33.88	$48.98	$85.11
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.71 / $54.95	Professional	26	$6.17	$8.71	$54.95
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $53.70 / $63.10 / $67.61	Professional	50	$53.70	$63.10	$67.61
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $46.77 / $54.95	Professional	TC	$46.77	$46.77	$54.95
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $43.65 / $102.33	Professional		$34.67	$43.65	$102.33
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $9.77 / $22.91	Professional	26	$7.76	$9.77	$22.91
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $51.29 / $64.57 / $141.25	Professional	50	$51.29	$64.57	$141.25
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $33.11 / $70.79	Professional	TC	$26.92	$33.11	$70.79
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.85 / $48.98 / $64.57	Professional		$15.85	$48.98	$64.57
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.69 / $12.59 / $17.78	Facility	26	$2.69	$12.59	$17.78
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $8.51 / $39.81 / $56.23	Facility	TC	$8.51	$39.81	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $60.26 / $177.83	Professional		$36.31	$60.26	$177.83
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.85 / $39.81	Professional	26	$8.71	$15.85	$39.81
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $45.71 / $165.96	Professional	TC	$26.30	$45.71	$165.96
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $28.18 / $28.18 / $28.18	Facility	TC	$28.18	$28.18	$28.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $67.61 / $107.15	Professional		$51.29	$67.61	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $16.60 / $38.02	Professional	26	$11.22	$16.60	$38.02
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $54.95 / $83.18	Professional	TC	$41.69	$54.95	$83.18
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.02 / $12.02 / $12.02	Facility	TC	$12.02	$12.02	$12.02
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $61.66 / $109.65	Professional		$28.84	$61.66	$109.65
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $14.45 / $26.30	Professional	26	$9.12	$14.45	$26.30
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $46.77 / $85.11	Professional	TC	$22.39	$46.77	$85.11
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $57.54 / $75.86	Professional		$30.90	$57.54	$75.86
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $14.79 / $16.98	Professional	26	$7.94	$14.79	$16.98
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $35.48 / $87.10 / $426.58	Facility	TC	$35.48	$87.10	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $44.67 / $63.10	Professional		$44.67	$44.67	$63.10
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $12.88 / $22.91	Professional	26	$11.22	$12.88	$22.91
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $89.13 / $123.03	Professional	50	$87.10	$89.13	$123.03
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $60.26 / $123.03	Professional		$50.12	$60.26	$123.03
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $15.49 / $29.51	Professional	26	$12.88	$15.49	$29.51
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $37.15 / $43.65 / $93.33	Professional	TC	$37.15	$43.65	$93.33
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $63.10 / $162.18	Professional		$38.90	$63.10	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $14.45 / $83.18	Professional	26	$9.55	$14.45	$83.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $48.98 / $134.90	Professional	TC	$30.20	$48.98	$134.90
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.12 / $12.88 / $35.48	Facility	26	$9.12	$12.88	$35.48
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $12.02 / $23.99 / $69.18	Facility	TC	$12.02	$23.99	$69.18
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $61.66 / $114.82	Professional		$28.84	$61.66	$114.82
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $14.45 / $32.36	Professional	26	$9.12	$14.45	$32.36
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $46.77 / $87.10	Professional	TC	$22.39	$46.77	$87.10

New York rates for HCPCS 73564