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 $9.12 / $13.18 / $30.20	Facility	26	$9.12	$13.18	$30.20
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $25.70 / $81.28 / $331.13	Facility	TC	$25.70	$81.28	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $50.12 / $138.04	Professional		$28.18	$50.12	$138.04
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $16.60 / $43.65	Professional	26	$10.00	$16.60	$43.65
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $29.51 / $66.07	Professional	TC	$18.20	$29.51	$66.07
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $24.55 / $28.84	Professional		$23.99	$24.55	$28.84
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.17 / $8.71 / $16.22	Professional	26	$6.17	$8.71	$16.22
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $26.30 / $77.62	Professional		$21.38	$26.30	$77.62
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.03 / $7.41 / $22.39	Professional	26	$6.03	$7.41	$22.39
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $19.05 / $51.29	Professional	TC	$15.14	$19.05	$51.29
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.22 / $35.48 / $51.29	Professional		$16.22	$35.48	$51.29
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.69 / $12.59 / $18.20	Facility	26	$2.69	$12.59	$18.20
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 $27.54 / $48.98 / $125.89	Professional		$27.54	$48.98	$125.89
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.71 / $15.85 / $38.02	Professional	26	$8.71	$15.85	$38.02
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $34.67 / $89.13	Professional	TC	$19.95	$34.67	$89.13
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 $37.15 / $48.98 / $75.86	Professional		$37.15	$48.98	$75.86
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $15.85 / $33.88	Professional	26	$10.72	$15.85	$33.88
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $37.15 / $52.48	Professional	TC	$26.30	$37.15	$52.48
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 $28.84 / $47.86 / $85.11	Professional		$28.84	$47.86	$85.11
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $14.45 / $25.70	Professional	26	$9.77	$14.45	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $33.11 / $60.26	Professional	TC	$18.62	$33.11	$60.26
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.13 / $8.13 / $8.13	Professional	26	$8.13	$8.13	$8.13
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $26.30 / $81.28 / $309.03	Facility	TC	$26.30	$81.28	$309.03
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $35.48 / $50.12	Professional		$34.67	$35.48	$50.12
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $12.02 / $23.44	Professional	26	$11.75	$12.02	$23.44
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $63.10 / $63.10	Professional	TC	$63.10	$63.10	$63.10
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $48.98 / $95.50	Professional		$40.74	$48.98	$95.50
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $15.85 / $28.84	Professional	26	$13.18	$15.85	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $33.11 / $67.61	Professional	TC	$28.18	$33.11	$67.61
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $47.86 / $141.25	Professional		$31.62	$47.86	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $14.13 / $64.57	Professional	26	$9.77	$14.13	$64.57
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $34.67 / $102.33	Professional	TC	$21.88	$34.67	$102.33
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $12.59 / $17.78	Facility	26	$8.91	$12.59	$17.78
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.12 / $13.18 / $29.51	Facility	TC	$9.12	$13.18	$29.51
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $45.71 / $85.11	Professional		$28.84	$45.71	$85.11
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.12 / $14.45 / $26.92	Professional	26	$9.12	$14.45	$26.92
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $31.62 / $60.26	Professional	TC	$18.62	$31.62	$60.26

New York rates for HCPCS 74019