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 $21.38 / $32.36 / $69.18	Facility	26	$21.38	$32.36	$69.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $131.83 / $389.05	Professional		$91.20	$131.83	$389.05
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $34.67 / $93.33	Professional	26	$21.38	$34.67	$93.33
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $97.72 / $199.53	Professional	TC	$67.61	$97.72	$199.53
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $14.45 / $22.39	Professional	26	$14.13	$14.45	$22.39
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $123.03 / $257.04	Professional		$100.00	$123.03	$257.04
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.99 / $52.48	Professional	26	$18.62	$23.99	$52.48
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $97.72 / $194.98	Professional	TC	$81.28	$97.72	$194.98
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $151.36 / $186.21	Professional		$37.15	$151.36	$186.21
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.17 / $28.84 / $40.74	Facility	26	$6.17	$28.84	$40.74
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $158.49 / $501.19	Professional		$89.13	$158.49	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $37.15 / $91.20	Professional	26	$19.95	$37.15	$91.20
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $134.90 / $416.87	Professional	TC	$61.66	$134.90	$416.87
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $162.18 / $251.19	Professional		$123.03	$162.18	$251.19
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $37.15 / $77.62	Professional	26	$25.12	$37.15	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $138.04 / $199.53	Professional	TC	$102.33	$138.04	$199.53
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $158.49 / $295.12	Professional		$61.66	$158.49	$295.12
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.11 / $60.26	Professional	26	$20.89	$33.11	$60.26
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $125.89 / $234.42	Professional	TC	$47.86	$125.89	$234.42
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $22.91	Professional	26	$22.91	$22.91	$22.91
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.20 / $54.95	Professional	26	$25.12	$30.20	$54.95
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $147.91 / $177.83 / $323.59	Professional		$147.91	$177.83	$323.59
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $36.31 / $67.61	Professional	26	$30.20	$36.31	$67.61
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $114.82 / $138.04 / $257.04	Professional	TC	$114.82	$138.04	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $165.96 / $489.78	Professional		$102.33	$165.96	$489.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $125.89	Professional	26	$21.88	$33.11	$125.89
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $134.90 / $389.05	Professional	TC	$83.18	$134.90	$389.05
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.89 / $29.51 / $85.11	Facility	26	$20.89	$29.51	$85.11
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $158.49 / $295.12	Professional		$61.66	$158.49	$295.12
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.11 / $72.44	Professional	26	$20.89	$33.11	$72.44
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $125.89 / $234.42	Professional	TC	$47.86	$125.89	$234.42

New York rates for HCPCS 74230