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 $104.71 / $223.87 / $891.25	Facility		$104.71	$223.87	$891.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $29.51 / $63.10	Facility	26	$21.38	$29.51	$63.10
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $165.96 / $467.74	Professional		$97.72	$165.96	$467.74
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $41.69 / $102.33	Professional	26	$22.91	$41.69	$102.33
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $28.18 / $107.15 / $239.88	Professional	52	$28.18	$107.15	$239.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $97.72 / $208.93	Professional	TC	$69.18	$97.72	$208.93
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $91.20 / $162.18	Professional		$70.79	$91.20	$162.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $23.44 / $39.81	Professional	26	$20.42	$23.44	$39.81
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $61.66 / $83.18	Professional	TC	$60.26	$61.66	$83.18
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $128.82 / $275.42	Professional		$107.15	$128.82	$275.42
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $30.20 / $53.70	Professional	26	$24.55	$30.20	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $97.72 / $177.83	Professional	TC	$81.28	$97.72	$177.83
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $39.81 / $39.81 / $125.89	Facility		$39.81	$39.81	$125.89
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $125.89 / $162.18	Professional		$39.81	$125.89	$162.18
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $169.82 / $269.15 / $776.25	Facility		$169.82	$269.15	$776.25
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $43.65	Facility	26	$6.61	$30.90	$43.65
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $158.49 / $416.87	Professional		$93.33	$158.49	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $38.90 / $93.33	Professional	26	$21.88	$38.90	$93.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $69.18 / $123.03 / $323.59	Professional	TC	$69.18	$123.03	$323.59
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $288.40	Facility		$69.18	$109.65	$288.40
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $141.25 / $218.78	Professional		$112.20	$141.25	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $39.81 / $107.15	Professional	26	$26.92	$39.81	$107.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $112.20 / $181.97	Professional	TC	$85.11	$112.20	$181.97
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $141.25 / $251.19	Professional		$81.28	$141.25	$251.19
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $36.31 / $63.10	Professional	26	$15.14	$36.31	$63.10
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $107.15 / $190.55	Professional	TC	$64.57	$107.15	$190.55
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $23.44 / $40.74	Professional	26	$20.42	$23.44	$40.74
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $177.83 / $562.34	Facility		$109.65	$177.83	$562.34
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $128.82 / $223.87	Professional		$112.20	$128.82	$223.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $31.62 / $56.23	Professional	26	$28.84	$31.62	$56.23
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $169.82 / $204.17	Professional	TC	$95.50	$169.82	$204.17
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $83.18 / $165.96 / $53,703.18	Facility		$83.18	$165.96	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $158.49 / $245.47	Professional		$134.90	$158.49	$245.47
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $39.81 / $60.26	Professional	26	$32.36	$39.81	$60.26
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $120.23 / $186.21	Professional	TC	$102.33	$120.23	$186.21
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 $93.33 / $144.54 / $309.03	Professional		$93.33	$144.54	$309.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $35.48 / $194.98	Professional	26	$22.91	$35.48	$194.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $114.82 / $295.12	Professional	TC	$72.44	$114.82	$295.12
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.20 / $89.13 / $213.80	Facility		$30.20	$89.13	$213.80
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.88 / $30.90 / $89.13	Facility	26	$21.88	$30.90	$89.13
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $138.04 / $275.42	Professional		$81.28	$138.04	$275.42
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $35.48 / $77.62	Professional	26	$21.88	$35.48	$77.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $102.33 / $208.93	Professional	TC	$64.57	$102.33	$208.93

New York rates for HCPCS 76536