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 $26.30 / $50.12 / $109.65	Facility	26	$26.30	$50.12	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $120.23 / $323.59	Professional		$89.13	$120.23	$323.59
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $45.71 / $89.13	Professional	26	$28.18	$45.71	$89.13
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $79.43 / $154.88	Professional	TC	$58.88	$79.43	$154.88
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional	26	$26.30	$26.30	$26.30
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $104.71 / $239.88	Professional		$85.11	$104.71	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $29.51 / $67.61	Professional	26	$23.99	$29.51	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $74.13 / $158.49	Professional	TC	$61.66	$74.13	$158.49
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $112.20 / $158.49	Professional		$48.98	$112.20	$158.49
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.13 / $38.02 / $53.70	Facility	26	$8.13	$38.02	$53.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $151.36 / $380.19	Professional		$87.10	$151.36	$380.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $47.86 / $117.49	Professional	26	$25.70	$47.86	$117.49
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $109.65 / $269.15	Professional	TC	$61.66	$109.65	$269.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $223.87	Professional		$109.65	$144.54	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $47.86 / $91.20	Professional	26	$32.36	$47.86	$91.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $107.15 / $154.88	Professional	TC	$79.43	$107.15	$154.88
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $141.25 / $257.04	Professional		$75.86	$141.25	$257.04
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $43.65 / $77.62	Professional	26	$26.92	$43.65	$77.62
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $95.50 / $177.83	Professional	TC	$51.29	$95.50	$177.83
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $151.36 / $181.97	Professional		$109.65	$151.36	$181.97
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $36.31 / $48.98	Professional	26	$35.48	$36.31	$48.98
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $147.91 / $288.40	Professional		$125.89	$147.91	$288.40
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $47.86 / $87.10	Professional	26	$39.81	$47.86	$87.10
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $100.00 / $199.53	Professional	TC	$85.11	$100.00	$199.53
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $144.54 / $416.87	Professional		$95.50	$144.54	$416.87
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $43.65 / $154.88	Professional	26	$28.84	$43.65	$154.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $104.71 / $302.00	Professional	TC	$67.61	$104.71	$302.00
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $38.90 / $50.12	Facility	26	$25.12	$38.90	$50.12
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $134.90 / $257.04	Professional		$75.86	$134.90	$257.04
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $43.65 / $83.18	Professional	26	$26.92	$43.65	$83.18
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $95.50 / $177.83	Professional	TC	$51.29	$95.50	$177.83

New York rates for HCPCS 74221