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 $38.02 / $54.95 / $125.89	Facility	26	$38.02	$54.95	$125.89
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $208.93 / $562.34	Professional		$107.15	$208.93	$562.34
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $79.43 / $194.98	Professional	26	$40.74	$79.43	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $87.10 / $190.55	Professional	TC	$57.54	$87.10	$190.55
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $77.62 / $97.72 / $173.78	Professional		$77.62	$97.72	$173.78
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $41.69 / $70.79	Professional	26	$36.31	$41.69	$70.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $128.82 / $295.12	Professional		$102.33	$128.82	$295.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $93.33	Professional	26	$38.90	$47.86	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $77.62 / $151.36	Professional	TC	$64.57	$77.62	$151.36
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $102.33 / $169.82	Professional		$69.18	$102.33	$169.82
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $75.86	Facility	26	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $173.78 / $436.52	Professional		$102.33	$173.78	$436.52
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $69.18 / $162.18	Professional	26	$38.02	$69.18	$162.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $102.33 / $275.42	Professional	TC	$57.54	$102.33	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $151.36 / $234.42	Professional		$123.03	$151.36	$234.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $70.79 / $134.90	Professional	26	$48.98	$70.79	$134.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $97.72 / $147.91	Professional	TC	$74.13	$97.72	$147.91
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $269.15	Professional		$104.71	$151.36	$269.15
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $63.10 / $112.20	Professional	26	$44.67	$63.10	$112.20
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $97.72 / $162.18	Professional	TC	$64.57	$97.72	$162.18
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $34.67 / $51.29	Professional	26	$29.51	$34.67	$51.29
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $134.90 / $138.04 / $239.88	Professional		$134.90	$138.04	$239.88
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $57.54 / $102.33	Professional	26	$56.23	$57.54	$102.33
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $81.28 / $141.25	Professional	TC	$79.43	$81.28	$141.25
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $169.82 / $263.03	Professional		$141.25	$169.82	$263.03
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $69.18 / $107.15	Professional	26	$56.23	$69.18	$107.15
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $100.00 / $158.49	Professional	TC	$85.11	$100.00	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $100.00 / $154.88 / $446.68	Professional		$100.00	$154.88	$446.68
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $60.26 / $165.96	Professional	26	$39.81	$60.26	$165.96
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $95.50 / $281.84	Professional	TC	$63.10	$95.50	$281.84
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $54.95 / $162.18	Facility	26	$38.90	$54.95	$162.18
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $147.91 / $302.00	Professional		$95.50	$147.91	$302.00
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $61.66 / $134.90	Professional	26	$42.66	$61.66	$134.90
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $93.33 / $177.83	Professional	TC	$57.54	$93.33	$177.83

New York rates for HCPCS 76801