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 $21.88 / $89.13 / $173.78	Facility	26	$21.88	$89.13	$173.78
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $83.18 / $239.88	Professional		$47.86	$83.18	$239.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $74.13	Professional	26	$21.88	$33.11	$74.13
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $35.48 / $60.26 / $151.36	Professional	52	$35.48	$60.26	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $50.12 / $104.71	Professional	TC	$25.12	$50.12	$104.71
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $47.86 / $57.54	Professional		$47.86	$47.86	$57.54
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.76 / $22.91 / $44.67	Professional	26	$6.76	$22.91	$44.67
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $13.49 / $13.49 / $13.49	Professional	52	$13.49	$13.49	$13.49
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $32.36 / $63.10	Professional	26	$30.90	$32.36	$63.10
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $100.00 / $162.18	Professional		$54.95	$100.00	$162.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $34.67 / $56.23	Professional	26	$21.88	$34.67	$56.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $64.57 / $112.20	Professional	TC	$29.51	$64.57	$112.20
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $83.18 / $117.49	Professional		$63.10	$83.18	$117.49
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $37.15 / $51.29	Professional	26	$28.18	$37.15	$51.29
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $45.71 / $66.07	Professional	TC	$34.67	$45.71	$66.07
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $79.43 / $169.82	Professional		$67.61	$79.43	$169.82
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $27.54 / $56.23	Professional	26	$23.44	$27.54	$56.23
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $54.95 / $114.82	Professional	TC	$44.67	$54.95	$114.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $85.11 / $151.36	Professional		$47.86	$85.11	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.90 / $53.70	Professional	26	$20.42	$30.90	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $51.29 / $100.00	Professional	TC	$27.54	$51.29	$100.00

New Jersey rates for HCPCS 76604