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 $30.20 / $43.65 / $123.03	Facility	26	$30.20	$43.65	$123.03
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $147.91 / $380.19	Professional		$72.44	$147.91	$380.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $60.26 / $151.36	Professional	26	$32.36	$60.26	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $57.54 / $117.49	Professional	TC	$38.02	$57.54	$117.49
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $79.43 / $107.15	Professional		$57.54	$79.43	$107.15
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $33.11 / $41.69	Professional	26	$28.84	$33.11	$41.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $91.20 / $199.53	Professional		$72.44	$91.20	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $38.02 / $74.13	Professional	26	$30.90	$38.02	$74.13
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $51.29 / $104.71	Professional	TC	$41.69	$51.29	$104.71
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $67.61 / $123.03	Professional		$53.70	$67.61	$123.03
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $125.89 / $309.03	Professional		$75.86	$125.89	$309.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $53.70 / $128.82	Professional	26	$30.20	$53.70	$128.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $70.79 / $194.98	Professional	TC	$40.74	$70.79	$194.98
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $114.82 / $177.83	Professional		$93.33	$114.82	$177.83
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $54.95 / $77.62	Professional	26	$38.02	$54.95	$77.62
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $70.79 / $107.15	Professional	TC	$53.70	$70.79	$107.15
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $194.98	Professional		$74.13	$112.20	$194.98
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $48.98 / $87.10	Professional	26	$34.67	$48.98	$87.10
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $69.18 / $112.20	Professional	TC	$42.66	$69.18	$112.20
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $26.92 / $87.10	Professional	26	$23.99	$26.92	$87.10
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $165.96	Professional		$97.72	$100.00	$165.96
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $44.67 / $79.43	Professional	26	$44.67	$44.67	$79.43
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Professional	TC	$54.95	$54.95	$54.95
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 $43.65 / $53.70 / $83.18	Professional	26	$43.65	$53.70	$83.18
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $66.07 / $109.65	Professional	TC	$56.23	$66.07	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $112.20 / $323.59	Professional		$74.13	$112.20	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $47.86 / $131.83	Professional	26	$30.90	$47.86	$131.83
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $67.61 / $194.98	Professional	TC	$43.65	$67.61	$194.98
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $42.66 / $125.89	Facility	26	$30.20	$42.66	$125.89
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $109.65 / $218.78	Professional		$69.18	$109.65	$218.78
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $47.86 / $100.00	Professional	26	$33.88	$47.86	$100.00
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $66.07 / $131.83	Professional	TC	$39.81	$66.07	$131.83

New York rates for HCPCS 76819