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 $53.70 / $97.72 / $1,380.38	Facility		$53.70	$97.72	$1,380.38
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $25.12 / $39.81 / $81.28	Facility	26	$25.12	$39.81	$81.28
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $50.12 / $107.15 / $398.11	Professional		$50.12	$107.15	$398.11
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $44.67 / $147.91	Professional	26	$26.92	$44.67	$147.91
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $38.02 / $186.21	Professional	TC	$20.89	$38.02	$186.21
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $60.26 / $69.18	Professional		$44.67	$60.26	$69.18
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $24.55 / $47.86	Professional	26	$22.91	$24.55	$47.86
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $47.86 / $47.86 / $47.86	Professional	TC	$47.86	$47.86	$47.86
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $61.66 / $309.03	Professional		$48.98	$61.66	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $30.90 / $67.61	Professional	26	$24.55	$30.90	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $30.20 / $117.49	Professional	TC	$23.99	$30.20	$117.49
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.02 / $38.02 / $43.65	Facility		$38.02	$38.02	$43.65
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $43.65 / $81.28	Professional		$38.02	$43.65	$81.28
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $1,288.25 / $1,445.44	Facility		$93.33	$1,288.25	$1,445.44
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 $51.29 / $120.23 / $416.87	Professional		$51.29	$120.23	$416.87
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $44.67 / $104.71	Professional	26	$24.55	$44.67	$104.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $57.54 / $346.74	Professional	TC	$23.99	$57.54	$346.74
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.18 / $43.65 / $114.82	Facility		$28.18	$43.65	$114.82
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $89.13 / $134.90	Professional		$67.61	$89.13	$134.90
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $46.77 / $162.18	Professional	26	$31.62	$46.77	$162.18
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $44.67 / $67.61	Professional	TC	$33.88	$44.67	$67.61
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 $54.95 / $93.33 / $165.96	Professional		$54.95	$93.33	$165.96
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $40.74 / $70.79	Professional	26	$18.20	$40.74	$70.79
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $45.71 / $114.82	Professional	TC	$28.18	$45.71	$114.82
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $416.87 / $1,258.93	Facility		$27.54	$416.87	$1,258.93
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $79.43 / $363.08	Professional		$63.10	$79.43	$363.08
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $37.15 / $61.66	Professional	26	$36.31	$37.15	$61.66
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $72.44 / $53,703.18	Facility		$51.29	$72.44	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $79.43 / $128.82	Professional		$66.07	$79.43	$128.82
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $43.65 / $69.18	Professional	26	$35.48	$43.65	$69.18
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $34.67 / $63.10	Professional	TC	$29.51	$34.67	$63.10
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $112.20	Facility		$61.66	$61.66	$112.20
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $81.28 / $346.74	Professional		$51.29	$81.28	$346.74
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $39.81 / $223.87	Professional	26	$26.30	$39.81	$223.87
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $40.74 / $194.98	Professional	TC	$23.99	$40.74	$194.98
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $54.95 / $186.21	Facility		$47.86	$54.95	$186.21
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $24.55 / $35.48 / $107.15	Facility	26	$24.55	$35.48	$107.15
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $87.10 / $169.82	Professional		$54.95	$87.10	$169.82
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 $26.92 / $42.66 / $141.25	Professional	TC	$26.92	$42.66	$141.25

New York rates for HCPCS 76942