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 Typical Low / Median / Typical High $38.90 / $66.07 / $346.74	Facility		$38.90	$66.07	$346.74
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $36.31	Facility	26	$10.96	$18.20	$36.31
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $38.90 / $87.10	Professional		$25.12	$38.90	$87.10
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $19.50 / $67.61	Professional	26	$11.48	$19.50	$67.61
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.85 / $25.12 / $50.12	Professional	TC	$15.85	$25.12	$50.12
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $30.90 / $40.74	Professional		$28.84	$30.90	$40.74
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.18 / $223.87	Professional	26	$10.23	$13.18	$223.87
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $39.81 / $79.43	Professional		$33.11	$39.81	$79.43
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.80 / $30.90	Professional	26	$10.96	$13.80	$30.90
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.39 / $26.30 / $47.86	Professional	TC	$22.39	$26.30	$47.86
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $34.67	Facility		$19.50	$19.50	$34.67
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $34.67 / $53.70	Professional		$19.50	$34.67	$53.70
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $48.98 / $177.83 / $199.53	Facility		$48.98	$177.83	$199.53
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.31 / $15.49 / $21.88	Facility	26	$3.31	$15.49	$21.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $50.12 / $134.90	Professional		$30.20	$50.12	$134.90
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $20.42 / $46.77	Professional	26	$11.48	$20.42	$46.77
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $30.20 / $100.00	Professional	TC	$18.62	$30.20	$100.00
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.91 / $35.48 / $95.50	Facility		$22.91	$35.48	$95.50
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $54.95 / $85.11	Professional		$41.69	$54.95	$85.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $22.39 / $38.02	Professional	26	$13.80	$22.39	$38.02
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $37.15 / $57.54	Professional	TC	$27.54	$37.15	$57.54
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $54.95 / $87.10	Professional		$28.84	$54.95	$87.10
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $18.62 / $31.62	Professional	26	$11.22	$18.62	$31.62
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $33.11 / $56.23	Professional	TC	$17.38	$33.11	$56.23
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $16.22 / $19.95	Professional	26	$16.22	$16.22	$19.95
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $75.86 / $213.80 / $295.12	Facility		$75.86	$213.80	$295.12
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $38.90 / $64.57	Professional		$31.62	$38.90	$64.57
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $16.22 / $33.88	Professional	26	$14.79	$16.22	$33.88
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $44.67 / $72.44 / $53,703.18	Facility		$44.67	$72.44	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $50.12 / $77.62	Professional		$41.69	$50.12	$77.62
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $20.42 / $30.90	Professional	26	$16.60	$20.42	$30.90
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $30.20 / $48.98	Professional	TC	$25.70	$30.20	$48.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Facility		$52.48	$52.48	$52.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $51.29 / $147.91	Professional		$32.36	$51.29	$147.91
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $18.20 / $54.95	Professional	26	$11.75	$18.20	$54.95
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $33.88 / $97.72	Professional	TC	$19.95	$33.88	$97.72
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $54.95 / $85.11	Facility		$30.90	$54.95	$85.11
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.22 / $15.85 / $48.98	Facility	26	$11.22	$15.85	$48.98
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $50.12 / $95.50	Professional		$30.90	$50.12	$95.50
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $17.78 / $36.31	Professional	26	$11.22	$17.78	$36.31
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.50 / $32.36 / $60.26	Professional	TC	$19.50	$32.36	$60.26

New York rates for HCPCS 76937