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 / $47.86 / $102.33	Facility	26	$26.30	$47.86	$102.33
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $134.90 / $363.08	Professional		$91.20	$134.90	$363.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $57.54 / $120.23	Professional	26	$30.20	$57.54	$120.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $87.10 / $173.78	Professional	TC	$61.66	$87.10	$173.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $85.11 / $95.50	Professional		$85.11	$85.11	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.38 / $21.38 / $21.38	Professional	26	$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $117.49 / $263.03	Professional		$95.50	$117.49	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $34.67 / $74.13	Professional	26	$26.92	$34.67	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $67.61 / $83.18 / $173.78	Professional	TC	$67.61	$83.18	$173.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $120.23 / $177.83	Professional		$54.95	$120.23	$177.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.33 / $43.65 / $61.66	Facility	26	$9.33	$43.65	$61.66
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $158.49 / $501.19	Professional		$95.50	$158.49	$501.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $53.70 / $134.90	Professional	26	$27.54	$53.70	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $112.20 / $389.05	Professional	TC	$64.57	$112.20	$389.05
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $165.96 / $257.04	Professional		$125.89	$165.96	$257.04
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $56.23 / $97.72	Professional	26	$38.02	$56.23	$97.72
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $123.03 / $173.78	Professional	TC	$91.20	$123.03	$173.78
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $158.49 / $288.40	Professional		$75.86	$158.49	$288.40
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $50.12 / $91.20	Professional	26	$27.54	$50.12	$91.20
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $107.15 / $199.53	Professional	TC	$57.54	$107.15	$199.53
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $67.61	Professional	26	$38.90	$39.81	$67.61
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $165.96 / $323.59	Professional		$138.04	$165.96	$323.59
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $54.95 / $100.00	Professional	26	$44.67	$54.95	$100.00
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $218.78	Professional	TC	$91.20	$109.65	$218.78
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $162.18 / $467.74	Professional		$102.33	$162.18	$467.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $48.98 / $173.78	Professional	26	$32.36	$48.98	$173.78
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $114.82 / $331.13	Professional	TC	$72.44	$114.82	$331.13
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $44.67 / $112.20	Facility	26	$30.90	$44.67	$112.20
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $158.49 / $302.00	Professional		$75.86	$158.49	$302.00
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $50.12 / $107.15	Professional	26	$30.90	$50.12	$107.15
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $107.15 / $208.93	Professional	TC	$57.54	$107.15	$208.93

New York rates for HCPCS 74240