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 $20.89 / $35.48 / $74.13	Facility	26	$20.89	$35.48	$74.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $93.33 / $363.08	Professional		$51.29	$93.33	$363.08
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $39.81 / $107.15	Professional	26	$22.91	$39.81	$107.15
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $63.10 / $275.42	Professional	52	$38.02	$63.10	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $50.12 / $100.00	Professional	TC	$25.12	$50.12	$100.00
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $46.77	Professional		$43.65	$43.65	$46.77
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.50 / $20.42 / $41.69	Professional	26	$5.50	$20.42	$41.69
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
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $67.61 / $165.96	Professional		$54.95	$67.61	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.20 / $53.70	Professional	26	$25.12	$30.20	$53.70
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $37.15 / $112.20	Professional	TC	$29.51	$37.15	$112.20
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $54.95 / $93.33	Professional		$39.81	$54.95	$93.33
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.61 / $30.90 / $44.67	Facility	26	$6.61	$30.90	$44.67
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $107.15 / $263.03	Professional		$53.70	$107.15	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $38.02 / $89.13	Professional	26	$22.39	$38.02	$89.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $69.18 / $162.18	Professional	TC	$29.51	$69.18	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $79.43 / $123.03	Professional		$63.10	$79.43	$123.03
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $77.62	Professional	26	$28.18	$41.69	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $45.71 / $69.18	Professional	TC	$34.67	$45.71	$69.18
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $81.28 / $131.83	Professional		$52.48	$81.28	$131.83
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $36.31 / $64.57	Professional	26	$14.79	$36.31	$64.57
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $45.71 / $69.18	Professional	TC	$27.54	$45.71	$69.18
Fidelis Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $35.48 / $35.48 / $35.48	Professional	52	$35.48	$35.48	$35.48
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $89.13 / $154.88	Professional		$75.86	$89.13	$154.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $30.20 / $57.54	Professional	26	$15.49	$30.20	$57.54
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $44.67 / $44.67 / $70.79	Professional	52	$44.67	$44.67	$70.79
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $109.65 / $151.36	Professional		$91.20	$109.65	$151.36
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $40.74 / $60.26	Professional	26	$33.11	$40.74	$60.26
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $66.07 / $87.10	Professional	TC	$53.70	$66.07	$87.10
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $85.11 / $218.78	Professional		$56.23	$85.11	$218.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $35.48 / $97.72	Professional	26	$22.91	$35.48	$97.72
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $47.86 / $131.83	Professional	TC	$31.62	$47.86	$131.83
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $31.62 / $87.10	Facility	26	$22.39	$31.62	$87.10
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $75.86 / $151.36	Professional		$46.77	$75.86	$151.36
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $35.48 / $77.62	Professional	26	$22.39	$35.48	$77.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $44.67 / $87.10	Professional	TC	$24.55	$44.67	$87.10

New York rates for HCPCS 76604