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 Typical Low / Median / Typical High $74.13 / $151.36 / $977.24	Facility		$74.13	$151.36	$977.24
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $22.91 / $50.12	Facility	26	$14.45	$22.91	$50.12
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $114.82 / $302.00	Professional		$77.62	$114.82	$302.00
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.12 / $72.44	Professional	26	$12.88	$25.12	$72.44
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $87.10 / $177.83	Professional	TC	$60.26	$87.10	$177.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $66.07	Professional		$66.07	$66.07	$66.07
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $77.62 / $218.78	Professional		$61.66	$77.62	$218.78
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.32 / $10.47 / $33.88	Professional	26	$8.32	$10.47	$33.88
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $66.07 / $169.82	Professional	TC	$53.70	$66.07	$169.82
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $21.88 / $125.89	Facility		$21.88	$21.88	$125.89
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $125.89 / $147.91	Professional		$21.88	$125.89	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $302.00 / $630.96	Facility		$208.93	$302.00	$630.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	26	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $131.83 / $354.81	Professional		$79.43	$131.83	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $22.91 / $54.95	Professional	26	$12.02	$22.91	$54.95
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $117.49 / $331.13	Professional	TC	$66.07	$117.49	$331.13
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $120.23 / $316.23	Facility		$75.86	$120.23	$316.23
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $144.54 / $218.78	Professional		$109.65	$144.54	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $22.39 / $74.13	Professional	26	$15.85	$22.39	$74.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $128.82 / $186.21	Professional	TC	$95.50	$128.82	$186.21
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $131.83 / $245.47	Professional		$57.54	$131.83	$245.47
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.42 / $37.15	Professional	26	$12.88	$20.42	$37.15
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $109.65 / $204.17	Professional	TC	$44.67	$109.65	$204.17
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $309.03 / $338.84 / $426.58	Facility		$309.03	$338.84	$426.58
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $194.98 / $194.98 / $194.98	Professional		$194.98	$194.98	$194.98
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $33.88	Professional	26	$18.62	$18.62	$33.88
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $89.13 / $177.83 / $53,703.18	Facility		$89.13	$177.83	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $131.83 / $269.15	Professional		$112.20	$131.83	$269.15
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $21.88 / $41.69	Professional	26	$18.20	$21.88	$41.69
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $91.20 / $109.65 / $229.09	Professional	TC	$91.20	$109.65	$229.09
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $263.03 / $512.86 / $588.84	Facility		$263.03	$512.86	$588.84
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $138.04 / $380.19	Professional		$85.11	$138.04	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.95 / $69.18	Professional	26	$13.49	$19.95	$69.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $120.23 / $346.74	Professional	TC	$72.44	$120.23	$346.74
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $61.66 / $199.53	Facility		$35.48	$61.66	$199.53
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $12.88 / $18.20 / $53.70	Facility	26	$12.88	$18.20	$53.70
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $131.83 / $257.04	Professional		$61.66	$131.83	$257.04
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $20.42 / $44.67	Professional	26	$12.88	$20.42	$44.67
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $109.65 / $218.78	Professional	TC	$52.48	$109.65	$218.78

New York rates for HCPCS 74455