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 $24.55 / $38.90 / $83.18	Facility	26	$24.55	$38.90	$83.18
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $144.54 / $436.52	Professional		$72.44	$144.54	$436.52
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $54.95 / $128.82	Professional	26	$28.18	$54.95	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $64.57 / $181.97	Professional	TC	$40.74	$64.57	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $64.57 / $75.86	Professional		$51.29	$64.57	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $28.18 / $46.77	Professional	26	$23.44	$28.18	$46.77
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $89.13 / $199.53	Professional		$72.44	$89.13	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $32.36 / $63.10	Professional	26	$26.30	$32.36	$63.10
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $56.23 / $109.65	Professional	TC	$45.71	$56.23	$109.65
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $74.13 / $120.23	Professional		$45.71	$74.13	$120.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.59 / $35.48 / $50.12	Facility	26	$7.59	$35.48	$50.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $117.49 / $316.23	Professional		$72.44	$117.49	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $44.67 / $107.15	Professional	26	$25.12	$44.67	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $74.13 / $199.53	Professional	TC	$41.69	$74.13	$199.53
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $104.71 / $169.82	Professional		$85.11	$104.71	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $45.71 / $77.62	Professional	26	$32.36	$45.71	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $69.18 / $112.20	Professional	TC	$52.48	$69.18	$112.20
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $104.71 / $186.21	Professional		$74.13	$104.71	$186.21
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $42.66 / $77.62	Professional	26	$28.84	$42.66	$77.62
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $69.18 / $114.82	Professional	TC	$45.71	$69.18	$114.82
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $26.92 / $38.02	Professional	26	$22.91	$26.92	$38.02
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $95.50 / $165.96	Professional		$93.33	$95.50	$165.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $66.07	Professional	26	$37.15	$37.15	$66.07
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $56.23 / $57.54	Professional	TC	$56.23	$56.23	$57.54
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $114.82 / $181.97	Professional		$97.72	$114.82	$181.97
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $44.67 / $70.79	Professional	26	$37.15	$44.67	$70.79
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $70.79 / $112.20	Professional	TC	$60.26	$70.79	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $331.13	Professional		$70.79	$107.15	$331.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $39.81 / $251.19	Professional	26	$26.30	$39.81	$251.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $69.18 / $331.13	Professional	TC	$44.67	$69.18	$331.13
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $35.48 / $107.15	Facility	26	$25.12	$35.48	$107.15
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $102.33 / $204.17	Professional		$66.07	$102.33	$204.17
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $40.74 / $89.13	Professional	26	$28.18	$40.74	$89.13
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $66.07 / $144.54	Professional	TC	$40.74	$66.07	$144.54

New York rates for HCPCS 76815