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 $6.61 / $11.75 / $27.54	Facility	26	$6.61	$11.75	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $46.77 / $120.23	Professional		$28.84	$46.77	$120.23
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $11.48 / $28.18	Professional	26	$7.08	$11.48	$28.18
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $38.90 / $40.74 / $58.88	Professional	50	$38.90	$40.74	$58.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $70.79	Professional	TC	$20.89	$32.36	$70.79
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $40.74 / $61.66	Professional		$30.20	$40.74	$61.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.79 / $4.79 / $4.79	Professional	26	$4.79	$4.79	$4.79
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $20.42 / $58.88	Professional	TC	$20.42	$20.42	$58.88
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $35.48 / $85.11	Professional		$28.18	$35.48	$85.11
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $8.91 / $17.38	Professional	26	$6.92	$8.91	$17.38
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $42.66 / $52.48 / $120.23	Professional	50	$42.66	$52.48	$120.23
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $26.30 / $63.10	Professional	TC	$21.38	$26.30	$63.10
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.30 / $44.67 / $57.54	Professional		$12.30	$44.67	$57.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.04 / $9.55 / $13.49	Facility	26	$2.04	$9.55	$13.49
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $52.48 / $147.91	Professional		$30.20	$52.48	$147.91
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $12.59 / $32.36	Professional	26	$6.92	$12.59	$32.36
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $40.74 / $141.25	Professional	TC	$21.38	$40.74	$141.25
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 $8.51 / $12.59 / $31.62	Professional	26	$8.51	$12.59	$31.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $47.86 / $70.79	Professional	TC	$36.31	$47.86	$70.79
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $51.29 / $93.33	Professional		$22.91	$51.29	$93.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.96 / $19.05	Professional	26	$6.61	$10.96	$19.05
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $40.74 / $74.13	Professional	TC	$17.78	$40.74	$74.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $39.81 / $54.95	Professional		$38.90	$39.81	$54.95
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $10.00 / $14.45	Professional	26	$9.77	$10.00	$14.45
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $52.48 / $104.71	Professional		$44.67	$52.48	$104.71
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $12.30 / $21.38	Professional	26	$10.00	$12.30	$21.38
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $40.74 / $83.18	Professional	TC	$34.67	$40.74	$83.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $52.48 / $154.88	Professional		$33.88	$52.48	$154.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.41 / $10.96 / $45.71	Professional	26	$7.41	$10.96	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $43.65 / $125.89	Professional	TC	$26.92	$43.65	$125.89
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $9.33 / $28.18	Facility	26	$6.61	$9.33	$28.18
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $51.29 / $93.33	Professional		$22.91	$51.29	$93.33
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $10.96 / $23.44	Professional	26	$6.61	$10.96	$23.44
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $40.74 / $74.13	Professional	TC	$17.78	$40.74	$74.13

New York rates for HCPCS 73565