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 $33.11 / $63.10 / $158.49	Facility	26	$33.11	$63.10	$158.49
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $234.42 / $338.84 / $912.01	Professional		$234.42	$338.84	$912.01
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $39.81 / $61.66 / $131.83	Professional	26	$39.81	$61.66	$131.83
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $204.17 / $281.84 / $741.31	Professional	TC	$204.17	$281.84	$741.31
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $281.84 / $354.81 / $812.83	Professional		$281.84	$354.81	$812.83
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $51.29 / $109.65	Professional	26	$38.90	$51.29	$109.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $309.03 / $676.08	Professional	TC	$239.88	$309.03	$676.08
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $416.87 / $489.78	Professional		$69.18	$416.87	$489.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.48 / $53.70 / $77.62	Facility	26	$11.48	$53.70	$77.62
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $562.34 / $1,445.44	Professional		$263.03	$562.34	$1,445.44
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $74.13 / $245.47	Professional	26	$33.88	$74.13	$245.47
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $223.87 / $512.86 / $1,230.27	Professional	TC	$223.87	$512.86	$1,230.27
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $316.23 / $436.52 / $660.69	Professional		$316.23	$436.52	$660.69
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $46.77 / $63.10 / $100.00	Professional	26	$46.77	$63.10	$100.00
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $288.40 / $371.54 / $562.34	Professional	TC	$288.40	$371.54	$562.34
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $316.23 / $575.44	Professional		$97.72	$316.23	$575.44
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $63.10 / $89.13	Professional	26	$38.90	$63.10	$89.13
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $57.54 / $269.15 / $489.78	Professional	TC	$57.54	$269.15	$489.78
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $50.12 / $56.23 / $104.71	Professional	26	$50.12	$56.23	$104.71
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $407.38 / $478.63 / $512.86	Professional		$407.38	$478.63	$512.86
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $69.18 / $70.79	Professional	26	$57.54	$69.18	$70.79
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $346.74 / $407.38 / $446.68	Professional	TC	$346.74	$407.38	$446.68
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $263.03 / $407.38 / $912.01	Professional		$263.03	$407.38	$912.01
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $41.69 / $58.88 / $144.54	Professional	26	$41.69	$58.88	$144.54
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $239.88 / $354.81 / $912.01	Professional	TC	$239.88	$354.81	$912.01
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $38.90 / $51.29 / $165.96	Facility	26	$38.90	$51.29	$165.96
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $245.47 / $371.54 / $660.69	Professional		$245.47	$371.54	$660.69
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.90 / $63.10 / $158.49	Professional	26	$38.90	$63.10	$158.49
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $208.93 / $331.13 / $562.34	Professional	TC	$208.93	$331.13	$562.34

New York rates for HCPCS 78315