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 $19.50 / $32.36 / $64.57	Facility	26	$19.50	$32.36	$64.57
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $79.43 / $263.03	Professional		$38.90	$79.43	$263.03
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $41.69 / $128.82	Professional	26	$19.95	$41.69	$128.82
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $23.99 / $53.70	Professional	TC	$16.98	$23.99	$53.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $38.02 / $47.86	Professional		$34.67	$38.02	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $19.05 / $19.05	Professional	26	$19.05	$19.05	$19.05
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $45.71 / $104.71	Professional		$37.15	$45.71	$104.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $23.44 / $46.77	Professional	26	$18.62	$23.44	$46.77
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $22.39 / $45.71	Professional	TC	$18.62	$22.39	$45.71
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $34.67 / $66.07	Professional		$30.90	$34.67	$66.07
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.75 / $26.92 / $38.02	Facility	26	$5.75	$26.92	$38.02
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $70.79 / $169.82	Professional		$39.81	$70.79	$169.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $35.48 / $83.18	Professional	26	$19.50	$35.48	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $34.67 / $97.72	Professional	TC	$18.20	$34.67	$97.72
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $58.88 / $91.20	Professional		$46.77	$58.88	$91.20
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $36.31 / $70.79	Professional	26	$24.55	$36.31	$70.79
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $28.84 / $43.65	Professional	TC	$21.88	$28.84	$43.65
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $57.54 / $102.33	Professional		$36.31	$57.54	$102.33
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $32.36 / $56.23	Professional	26	$19.95	$32.36	$56.23
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $26.30 / $47.86	Professional	TC	$14.45	$26.30	$47.86
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.80 / $28.18	Professional	26	$13.18	$13.80	$28.18
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.72 / $10.72 / $10.72	Professional	TC	$10.72	$10.72	$10.72
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $53.70 / $74.13	Professional		$52.48	$53.70	$74.13
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $29.51 / $51.29	Professional	26	$28.84	$29.51	$51.29
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $24.55 / $24.55	Professional	TC	$23.99	$24.55	$24.55
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $64.57 / $102.33	Professional		$53.70	$64.57	$102.33
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $34.67 / $54.95	Professional	26	$28.18	$34.67	$54.95
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $29.51 / $47.86	Professional	TC	$25.12	$29.51	$47.86
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $58.88 / $165.96	Professional		$38.90	$58.88	$165.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $30.90 / $95.50	Professional	26	$20.42	$30.90	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $28.84 / $85.11	Professional	TC	$18.62	$28.84	$85.11
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $19.50 / $27.54 / $81.28	Facility	26	$19.50	$27.54	$81.28
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $56.23 / $128.82	Professional		$36.31	$56.23	$128.82
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $30.90 / $63.10	Professional	26	$19.95	$30.90	$63.10
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.30 / $60.26	Professional	TC	$16.98	$26.30	$60.26

New York rates for HCPCS 76820