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 $85.11 / $186.21 / $575.44	Facility		$85.11	$186.21	$575.44
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $35.48 / $75.86	Facility	26	$25.70	$35.48	$75.86
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $97.72 / $309.03	Professional		$50.12	$97.72	$309.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $56.23 / $128.82	Professional	26	$28.84	$56.23	$128.82
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $63.10 / $173.78 / $630.96	Professional	50	$63.10	$173.78	$630.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $60.26 / $162.18	Professional	TC	$42.66	$60.26	$162.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $64.57 / $125.89	Professional		$58.88	$64.57	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $26.92 / $64.57	Professional	26	$24.55	$26.92	$64.57
Ambetter Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $89.13 / $89.13 / $95.50	Professional	50	$89.13	$89.13	$95.50
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	TC	$39.81	$39.81	$39.81
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $95.50 / $181.97	Professional		$79.43	$95.50	$181.97
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $34.67 / $66.07	Professional	26	$28.84	$34.67	$66.07
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $120.23 / $141.25 / $257.04	Professional	50	$120.23	$141.25	$257.04
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $60.26 / $107.15	Professional	TC	$51.29	$60.26	$107.15
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $114.82	Facility		$47.86	$75.86	$114.82
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $75.86 / $123.03	Professional		$47.86	$75.86	$123.03
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $125.89 / $162.18 / $213.80	Facility		$125.89	$162.18	$213.80
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $123.03 / $288.40	Professional		$69.18	$123.03	$288.40
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $47.86 / $107.15	Professional	26	$26.30	$47.86	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $77.62 / $186.21	Professional	TC	$43.65	$77.62	$186.21
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $69.18 / $186.21	Facility		$44.67	$69.18	$186.21
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $177.83	Professional		$85.11	$107.15	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $45.71 / $67.61	Professional	26	$31.62	$45.71	$67.61
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $72.44 / $114.82	Professional	TC	$53.70	$72.44	$114.82
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $26.92 / $26.92	Facility		$26.92	$26.92	$26.92
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $109.65 / $194.98	Professional		$63.10	$109.65	$194.98
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $42.66 / $74.13	Professional	26	$23.99	$42.66	$74.13
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $67.61 / $120.23	Professional	TC	$39.81	$67.61	$120.23
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $57.54 / $93.33	Professional		$56.23	$57.54	$93.33
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.02 / $38.02	Professional	26	$38.02	$38.02	$38.02
Fidelis Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $138.04 / $151.36 / $154.88	Professional	50	$138.04	$151.36	$154.88
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $58.88 / $169.82 / $870.96	Facility		$58.88	$169.82	$870.96
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $97.72 / $158.49	Professional		$91.20	$97.72	$158.49
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $44.67 / $69.18	Professional	26	$38.02	$44.67	$69.18
Highmark BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $61.66 / $147.91 / $213.80	Professional	50	$61.66	$147.91	$213.80
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $104.71 / $53,703.18	Facility		$52.48	$104.71	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $120.23 / $190.55	Professional		$100.00	$120.23	$190.55
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $46.77 / $72.44	Professional	26	$38.02	$46.77	$72.44
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $72.44 / $117.49	Professional	TC	$61.66	$72.44	$117.49
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $109.65 / $181.97 / $213.80	Facility		$109.65	$181.97	$213.80
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $112.20 / $323.59	Professional		$72.44	$112.20	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $41.69 / $120.23	Professional	26	$27.54	$41.69	$120.23
United Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $141.25 / $338.84 / $104,712.85	Professional	50	$141.25	$338.84	$104,712.85
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $46.77 / $72.44 / $208.93	Professional	TC	$46.77	$72.44	$208.93
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $26.92 / $61.66 / $117.49	Facility		$26.92	$61.66	$117.49
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.70 / $38.02 / $54.95	Facility	26	$25.70	$38.02	$54.95
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $100.00 / $199.53	Professional		$63.10	$100.00	$199.53
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $41.69 / $81.28	Professional	26	$26.30	$41.69	$81.28
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $61.66 / $123.03	Professional	TC	$39.81	$61.66	$123.03

New York rates for HCPCS 76642