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 $64.57 / $173.78 / $616.60	Facility		$64.57	$173.78	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.76 / $10.72 / $51.29	Facility	26	$6.76	$10.72	$51.29
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $24.55 / $70.79 / $257.04	Facility	TC	$24.55	$70.79	$257.04
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.71 / $38.90 / $102.33	Professional		$8.71	$38.90	$102.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.08 / $12.88 / $35.48	Professional	26	$7.08	$12.88	$35.48
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $16.60 / $74.13 / $194.98	Professional	50	$16.60	$74.13	$194.98
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $3.80 / $3.80 / $3.80	Professional	52	$3.80	$3.80	$3.80
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $33.11 / $77.62	Professional	TC	$18.62	$33.11	$77.62
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $28.18 / $38.90	Professional		$22.39	$28.18	$38.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $7.08 / $15.49	Professional	26	$6.17	$7.08	$15.49
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $37.15 / $40.74 / $70.79	Professional	50	$37.15	$40.74	$70.79
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $23.44 / $30.20	Professional	TC	$18.62	$23.44	$30.20
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $75.86 / $4,265.80	Facility		$40.74	$75.86	$4,265.80
AmeriHealth Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $40.74 / $75.86 / $1,513.56	Facility	TC	$40.74	$75.86	$1,513.56
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $44.67 / $100.00	Professional		$38.90	$44.67	$100.00
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $9.55 / $18.20	Professional	26	$9.55	$9.55	$18.20
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $63.10	Professional	TC	$33.11	$33.11	$63.10
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $64.57 / $70.79 / $125.89	Facility		$64.57	$70.79	$125.89
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.75 / $5.75 / $5.75	Facility	26	$5.75	$5.75	$5.75
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	TC	$13.80	$13.80	$13.80
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $40.74 / $70.79	Professional		$26.92	$40.74	$70.79
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $10.23 / $16.98	Professional	26	$6.17	$10.23	$16.98
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $27.54 / $50.12	Professional	TC	$19.05	$27.54	$50.12
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $48.98 / $58.88	Professional		$35.48	$48.98	$58.88
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.94 / $10.96 / $13.18	Professional	26	$7.94	$10.96	$13.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $44.67	Professional	TC	$26.92	$38.02	$44.67
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $239.88 / $9,772.37	Facility		$38.02	$239.88	$9,772.37
Horizon BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $8,709.64 / $25,118.86	Facility	TC	$26.30	$8,709.64	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $33.11 / $60.26	Professional		$28.18	$33.11	$60.26
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.92 / $8.13 / $15.85	Professional	26	$6.92	$8.13	$15.85
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $25.12 / $53.70	Professional	TC	$21.38	$25.12	$53.70
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $131.83 / $204.17	Facility		$57.54	$131.83	$204.17
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $37.15 / $64.57	Professional		$23.99	$37.15	$64.57
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $9.33 / $16.98	Professional	26	$6.03	$9.33	$16.98
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $67.61 / $67.61 / $67.61	Professional	50	$67.61	$67.61	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $27.54 / $48.98	Professional	TC	$17.78	$27.54	$48.98

New Jersey rates for HCPCS 73630