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 $10.72 / $45.71 / $81.28	Facility	26	$10.72	$45.71	$81.28
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $40.74 / $81.28 / $194.98	Facility	TC	$40.74	$81.28	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $43.65 / $107.15	Professional		$30.90	$43.65	$107.15
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $15.85 / $30.20	Professional	26	$10.00	$15.85	$30.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $28.84 / $61.66	Professional	TC	$20.42	$28.84	$61.66
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $36.31 / $38.90	Professional		$35.48	$36.31	$38.90
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.55 / $11.22 / $12.02	Professional	26	$9.55	$11.22	$12.02
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $22.39 / $27.54	Professional	TC	$22.39	$22.39	$27.54
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $15.14 / $28.84	Professional	26	$15.14	$15.14	$28.84
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $52.48 / $91.20	Professional		$32.36	$52.48	$91.20
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $16.60 / $27.54	Professional	26	$9.77	$16.60	$27.54
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $34.67 / $63.10	Professional	TC	$22.91	$34.67	$63.10
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $60.26 / $70.79	Professional		$42.66	$60.26	$70.79
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $16.98 / $19.95	Professional	26	$12.30	$16.98	$19.95
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.90 / $42.66 / $51.29	Professional	TC	$30.90	$42.66	$51.29
Horizon BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $30.20 / $9,120.11 / $25,118.86	Facility	TC	$30.20	$9,120.11	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $42.66 / $81.28	Professional		$34.67	$42.66	$81.28
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $24.55	Professional	26	$10.96	$12.88	$24.55
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $29.51 / $57.54	Professional	TC	$25.12	$29.51	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $46.77 / $79.43	Professional		$30.90	$46.77	$79.43
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $15.14 / $25.70	Professional	26	$9.33	$15.14	$25.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $32.36 / $54.95	Professional	TC	$20.89	$32.36	$54.95

New Jersey rates for HCPCS 74021