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 / $60.26 / $154.88	Facility	26	$38.02	$60.26	$154.88
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $234.42 / $602.56	Professional		$120.23	$234.42	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $83.18 / $194.98	Professional	26	$41.69	$83.18	$194.98
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $109.65 / $218.78	Professional	TC	$72.44	$109.65	$218.78
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $151.36	Professional		$85.11	$107.15	$151.36
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $42.66 / $70.79	Professional	26	$35.48	$42.66	$70.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $147.91 / $323.59	Professional		$117.49	$147.91	$323.59
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $95.50	Professional	26	$38.90	$47.86	$95.50
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $97.72 / $186.21	Professional	TC	$79.43	$97.72	$186.21
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $128.82 / $199.53	Professional		$69.18	$128.82	$199.53
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $77.62	Facility	26	$11.48	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $194.98 / $501.19	Professional		$120.23	$194.98	$501.19
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 $74.13 / $125.89 / $354.81	Professional	TC	$74.13	$125.89	$354.81
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $173.78 / $288.40	Professional		$144.54	$173.78	$288.40
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $70.79 / $125.89	Professional	26	$48.98	$70.79	$125.89
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $93.33 / $123.03 / $194.98	Professional	TC	$93.33	$123.03	$194.98
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $173.78 / $309.03	Professional		$120.23	$173.78	$309.03
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 $79.43 / $112.20 / $199.53	Professional	TC	$79.43	$112.20	$199.53
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $57.54 / $58.88	Professional	26	$51.29	$57.54	$58.88
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $154.88 / $158.49 / $275.42	Professional		$154.88	$158.49	$275.42
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $56.23 / $57.54 / $114.82	Professional	26	$56.23	$57.54	$114.82
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $100.00 / $100.00 / $100.00	Professional	TC	$100.00	$100.00	$100.00
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $194.98 / $302.00	Professional		$162.18	$194.98	$302.00
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 $104.71 / $123.03 / $194.98	Professional	TC	$104.71	$123.03	$194.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $177.83 / $489.78	Professional		$117.49	$177.83	$489.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $61.66 / $338.84	Professional	26	$39.81	$61.66	$338.84
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $117.49 / $489.78	Professional	TC	$77.62	$117.49	$489.78
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 $109.65 / $169.82 / $346.74	Professional		$109.65	$169.82	$346.74
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $43.65 / $63.10 / $138.04	Professional	26	$43.65	$63.10	$138.04
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $109.65 / $234.42	Professional	TC	$70.79	$109.65	$234.42

New York rates for HCPCS 76805