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 $97.72 / $208.93 / $537.03	Facility		$97.72	$208.93	$537.03
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.92 / $43.65 / $204.17	Facility	26	$26.92	$43.65	$204.17
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $93.33 / $213.80	Professional		$45.71	$93.33	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $44.67 / $93.33	Professional	26	$28.18	$44.67	$93.33
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $66.07 / $177.83 / $446.68	Professional	50	$66.07	$177.83	$446.68
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $57.54 / $131.83	Professional	TC	$41.69	$57.54	$131.83
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $69.18 / $100.00	Professional		$66.07	$69.18	$100.00
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $28.84 / $64.57	Professional	26	$24.55	$28.84	$64.57
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $104.71 / $104.71 / $204.17	Professional	50	$104.71	$104.71	$204.17
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $35.48 / $45.71	Professional	TC	$35.48	$35.48	$45.71
AmeriHealth Facility/Professional Facility Modifier Typical Low / Median / Typical High $95.50 / $660.69 / $1,258.93	Facility		$95.50	$660.69	$1,258.93
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $81.28 / $138.04	Professional		$81.28	$81.28	$138.04
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $28.84 / $74.13	Professional	26	$28.84	$28.84	$74.13
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $147.91 / $263.03	Facility		$131.83	$147.91	$263.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $114.82 / $186.21	Professional		$67.61	$114.82	$186.21
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $43.65 / $69.18	Professional	26	$25.70	$43.65	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $72.44 / $117.49	Professional	TC	$42.66	$72.44	$117.49
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $177.83	Professional		$85.11	$112.20	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $41.69 / $67.61	Professional	26	$31.62	$41.69	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $70.79 / $109.65	Professional	TC	$53.70	$70.79	$109.65
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $100.00 / $323.59 / $1,096.48	Facility		$100.00	$323.59	$1,096.48
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $75.86 / $177.83	Professional		$63.10	$75.86	$177.83
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $28.18 / $66.07	Professional	26	$23.44	$28.18	$66.07
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $48.98 / $120.23	Professional	TC	$38.90	$48.98	$120.23
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $131.83 / $223.87	Facility		$93.33	$131.83	$223.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $97.72 / $169.82	Professional		$66.07	$97.72	$169.82
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $37.15 / $67.61	Professional	26	$23.99	$37.15	$67.61
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $61.66 / $107.15	Professional	TC	$40.74	$61.66	$107.15

New Jersey rates for HCPCS 76642