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 $25.70 / $36.31 / $77.62	Facility	26	$25.70	$36.31	$77.62
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $154.88 / $524.81	Professional		$85.11	$154.88	$524.81
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $45.71 / $131.83	Professional	26	$28.18	$45.71	$131.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $91.20 / $186.21	Professional	TC	$58.88	$91.20	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $87.10 / $112.20	Professional		$50.12	$87.10	$112.20
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $28.84 / $30.90	Professional	26	$24.55	$28.84	$30.90
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $54.95 / $70.79	Professional	TC	$52.48	$54.95	$70.79
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $112.20 / $269.15	Professional		$91.20	$112.20	$269.15
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $33.11 / $66.07	Professional	26	$26.92	$33.11	$66.07
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $79.43 / $158.49	Professional	TC	$64.57	$79.43	$158.49
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $107.15 / $154.88	Professional		$47.86	$107.15	$154.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.94 / $37.15 / $52.48	Facility	26	$7.94	$37.15	$52.48
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $93.33 / $154.88 / $389.05	Professional		$93.33	$154.88	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $46.77 / $107.15	Professional	26	$26.92	$46.77	$107.15
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $102.33 / $281.84	Professional	TC	$60.26	$102.33	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $109.65 / $134.90 / $223.87	Professional		$109.65	$134.90	$223.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $48.98 / $107.15	Professional	26	$33.11	$48.98	$107.15
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $100.00 / $158.49	Professional	TC	$75.86	$100.00	$158.49
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $134.90 / $239.88	Professional		$85.11	$134.90	$239.88
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $44.67 / $81.28	Professional	26	$26.30	$44.67	$81.28
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $93.33 / $165.96	Professional	TC	$66.07	$93.33	$165.96
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $17.38 / $27.54	Professional	26	$15.49	$17.38	$27.54
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Professional	TC	$40.74	$40.74	$40.74
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $114.82 / $123.03 / $223.87	Professional		$114.82	$123.03	$223.87
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $39.81 / $75.86	Professional	26	$38.90	$39.81	$75.86
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $81.28 / $147.91	Professional	TC	$81.28	$81.28	$147.91
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $125.89 / $151.36 / $234.42	Professional		$125.89	$151.36	$234.42
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $47.86 / $74.13	Professional	26	$38.90	$47.86	$74.13
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $87.10 / $102.33 / $162.18	Professional	TC	$87.10	$102.33	$162.18
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $89.13 / $141.25 / $354.81	Professional		$89.13	$141.25	$354.81
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $42.66 / $251.19	Professional	26	$27.54	$42.66	$251.19
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $97.72 / $354.81	Professional	TC	$63.10	$97.72	$354.81
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $38.02 / $112.20	Facility	26	$26.30	$38.02	$112.20
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $269.15	Professional		$85.11	$131.83	$269.15
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $42.66 / $95.50	Professional	26	$26.30	$42.66	$95.50
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $93.33 / $186.21	Professional	TC	$58.88	$93.33	$186.21

New York rates for HCPCS 76856