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 $43.65 / $100.00 / $309.03	Facility		$43.65	$100.00	$309.03
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.90 / $47.86 / $100.00	Facility	26	$30.90	$47.86	$100.00
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $89.13 / $199.53	Professional		$44.67	$89.13	$199.53
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $50.12 / $186.21	Professional	26	$25.70	$50.12	$186.21
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $83.18 / $151.36 / $316.23	Professional	50	$83.18	$151.36	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $29.51 / $64.57	Professional	TC	$14.13	$29.51	$64.57
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $38.90 / $44.67	Professional		$38.02	$38.90	$44.67
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $53.70 / $53.70 / $53.70	Professional	50	$53.70	$53.70	$53.70
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $69.18 / $158.49	Professional		$57.54	$69.18	$158.49
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $85.11	Professional	26	$33.11	$40.74	$85.11
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $87.10 / $102.33 / $234.42	Professional	50	$87.10	$102.33	$234.42
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $28.84 / $70.79	Professional	TC	$24.55	$28.84	$70.79
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.70 / $25.70 / $43.65	Facility		$25.70	$25.70	$43.65
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $43.65 / $69.18	Professional		$25.70	$43.65	$69.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $45.71 / $64.57 / $602.56	Facility		$45.71	$64.57	$602.56
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $48.98	Facility	26	$7.24	$33.88	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $102.33 / $239.88	Professional		$44.67	$102.33	$239.88
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $56.23 / $123.03	Professional	26	$27.54	$56.23	$123.03
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $44.67 / $114.82	Professional	TC	$16.22	$44.67	$114.82
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $24.55 / $66.07	Facility		$15.85	$24.55	$66.07
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $63.10 / $97.72	Professional		$50.12	$63.10	$97.72
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $40.74 / $63.10	Professional	26	$30.20	$40.74	$63.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $25.12 / $38.02	Professional	TC	$19.05	$25.12	$38.02
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $70.79 / $109.65	Professional		$48.98	$70.79	$109.65
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $45.71 / $72.44	Professional	26	$28.18	$45.71	$72.44
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $30.90 / $41.69	Professional	TC	$17.78	$30.90	$41.69
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	26	$64.57	$64.57	$64.57
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $77.62 / $53,703.18	Facility		$32.36	$77.62	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $60.26 / $74.13 / $125.89	Professional		$60.26	$74.13	$125.89
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $43.65 / $72.44	Professional	26	$35.48	$43.65	$72.44
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $28.84 / $46.77	Professional	TC	$24.55	$28.84	$46.77
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $147.91 / $234.42 / $257.04	Facility		$147.91	$234.42	$257.04
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $67.61 / $181.97	Professional		$41.69	$67.61	$181.97
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $42.66 / $109.65	Professional	26	$25.70	$42.66	$109.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $26.92 / $75.86	Professional	TC	$17.38	$26.92	$75.86
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $60.26 / $190.55	Facility		$38.90	$60.26	$190.55
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $35.48 / $147.91	Facility	26	$25.12	$35.48	$147.91
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $63.10 / $138.04	Professional		$44.67	$63.10	$138.04
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $39.81 / $87.10	Professional	26	$26.92	$39.81	$87.10
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $27.54 / $51.29	Professional	TC	$16.22	$27.54	$51.29

New York rates for HCPCS 76512