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 $23.99 / $34.67 / $70.79	Facility	26	$23.99	$34.67	$70.79
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $144.54 / $489.78	Professional		$72.44	$144.54	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $47.86 / $117.49	Professional	26	$26.92	$47.86	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $45.71 / $85.11 / $165.96	Professional	TC	$45.71	$85.11	$165.96
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $75.86 / $125.89	Professional		$64.57	$75.86	$125.89
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.88 / $144.54	Professional	26	$22.91	$33.88	$144.54
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	TC	$52.48	$52.48	$52.48
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $104.71 / $213.80	Professional		$87.10	$104.71	$213.80
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $30.90 / $60.26	Professional	26	$25.12	$30.90	$60.26
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $61.66 / $72.44 / $138.04	Professional	TC	$61.66	$72.44	$138.04
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $102.33 / $147.91	Professional		$44.67	$102.33	$147.91
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.41 / $34.67 / $48.98	Facility	26	$7.41	$34.67	$48.98
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $75.86 / $138.04 / $380.19	Professional		$75.86	$138.04	$380.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $43.65 / $100.00	Professional	26	$25.12	$43.65	$100.00
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $100.00 / $269.15	Professional	TC	$47.86	$100.00	$269.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $125.89 / $199.53	Professional		$102.33	$125.89	$199.53
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.20 / $44.67 / $93.33	Professional	26	$30.20	$44.67	$93.33
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $95.50 / $144.54	Professional	TC	$70.79	$95.50	$144.54
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $128.82 / $229.09	Professional		$85.11	$128.82	$229.09
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.38 / $40.74 / $70.79	Professional	26	$17.38	$40.74	$70.79
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $63.10 / $89.13 / $158.49	Professional	TC	$63.10	$89.13	$158.49
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $22.91 / $45.71	Professional	26	$22.91	$22.91	$45.71
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $64.57 / $64.57	Professional	TC	$64.57	$64.57	$64.57
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $107.15 / $109.65 / $218.78	Professional		$107.15	$109.65	$218.78
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $63.10	Professional	26	$36.31	$36.31	$63.10
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $169.82 / $169.82 / $173.78	Professional	TC	$169.82	$169.82	$173.78
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $117.49 / $144.54 / $223.87	Professional		$117.49	$144.54	$223.87
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $44.67 / $69.18	Professional	26	$36.31	$44.67	$69.18
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $100.00 / $154.88	Professional	TC	$79.43	$100.00	$154.88
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $131.83 / $380.19	Professional		$85.11	$131.83	$380.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $39.81 / $107.15	Professional	26	$25.70	$39.81	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $60.26 / $95.50 / $275.42	Professional	TC	$60.26	$95.50	$275.42
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $34.67 / $102.33	Facility	26	$24.55	$34.67	$102.33
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $125.89 / $251.19	Professional		$81.28	$125.89	$251.19
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $39.81 / $87.10	Professional	26	$24.55	$39.81	$87.10
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $87.10 / $181.97	Professional	TC	$56.23	$87.10	$181.97

New York rates for HCPCS 76870