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 $33.88 / $51.29 / $134.90	Facility	26	$33.88	$51.29	$134.90
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $186.21 / $524.81	Professional		$95.50	$186.21	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $72.44 / $223.87	Professional	26	$35.48	$72.44	$223.87
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $77.62 / $194.98	Professional	TC	$56.23	$77.62	$194.98
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $102.33 / $169.82	Professional		$91.20	$102.33	$169.82
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $38.02 / $63.10	Professional	26	$30.90	$38.02	$63.10
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $104.71 / $104.71 / $104.71	Professional	TC	$104.71	$104.71	$104.71
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $114.82 / $239.88	Professional		$95.50	$114.82	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $41.69 / $81.28	Professional	26	$33.88	$41.69	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $75.86 / $147.91	Professional	TC	$63.10	$75.86	$147.91
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $100.00 / $162.18	Professional		$58.88	$100.00	$162.18
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.77 / $45.71 / $66.07	Facility	26	$9.77	$45.71	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $154.88 / $363.08	Professional		$91.20	$154.88	$363.08
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $60.26 / $141.25	Professional	26	$33.11	$60.26	$141.25
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $95.50 / $275.42	Professional	TC	$53.70	$95.50	$275.42
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $144.54 / $223.87	Professional		$114.82	$144.54	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $61.66 / $100.00	Professional	26	$42.66	$61.66	$100.00
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 $89.13 / $141.25 / $251.19	Professional		$89.13	$141.25	$251.19
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $102.33	Professional	26	$38.02	$54.95	$102.33
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $158.49	Professional	TC	$56.23	$87.10	$158.49
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $50.12 / $95.50	Professional	26	$35.48	$50.12	$95.50
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $109.65 / $109.65 / $109.65	Professional	TC	$109.65	$109.65	$109.65
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $128.82 / $263.03	Professional		$125.89	$128.82	$263.03
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $48.98 / $50.12 / $89.13	Professional	26	$48.98	$50.12	$89.13
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $77.62 / $79.43 / $79.43	Professional	TC	$77.62	$79.43	$79.43
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $154.88 / $245.47	Professional		$128.82	$154.88	$245.47
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $47.86 / $58.88 / $91.20	Professional	26	$47.86	$58.88	$91.20
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $95.50 / $154.88	Professional	TC	$81.28	$95.50	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $144.54 / $426.58	Professional		$91.20	$144.54	$426.58
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $52.48 / $147.91	Professional	26	$34.67	$52.48	$147.91
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $95.50 / $275.42	Professional	TC	$58.88	$95.50	$275.42
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $33.11 / $47.86 / $134.90	Facility	26	$33.11	$47.86	$134.90
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $134.90 / $281.84	Professional		$89.13	$134.90	$281.84
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $53.70 / $107.15	Professional	26	$37.15	$53.70	$107.15
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $173.78	Professional	TC	$56.23	$87.10	$173.78

New York rates for HCPCS 76816