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 $67.61 / $69.18 / $70.79	Facility		$67.61	$69.18	$70.79
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility	26	$40.74	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $40.74 / $60.26 / $109.65	Facility	TC	$40.74	$60.26	$109.65
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $64.57 / $186.21	Professional		$43.65	$64.57	$186.21
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $41.69 / $151.36	Professional	26	$18.20	$41.69	$151.36
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $38.02 / $125.89	Professional	TC	$26.92	$38.02	$125.89
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $67.61 / $199.53	Professional		$40.74	$67.61	$199.53
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $28.84 / $93.33	Professional	26	$22.39	$28.84	$93.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $36.31 / $109.65	Professional	TC	$18.62	$36.31	$109.65
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.60 / $38.90 / $54.95	Facility		$16.60	$38.90	$54.95
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $47.86 / $93.33	Professional		$27.54	$47.86	$93.33
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $85.11 / $102.33 / $173.78	Facility		$85.11	$102.33	$173.78
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.45 / $67.61 / $97.72	Facility	26	$14.45	$67.61	$97.72
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $11.48 / $53.70 / $75.86	Facility	TC	$11.48	$53.70	$75.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $85.11 / $295.12	Professional		$39.81	$85.11	$295.12
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $34.67 / $134.90	Professional	26	$16.22	$34.67	$134.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $48.98 / $162.18	Professional	TC	$24.55	$48.98	$162.18
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $11.48 / $11.48 / $11.48	Facility		$11.48	$11.48	$11.48
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $64.57 / $107.15	Professional		$41.69	$64.57	$107.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $27.54 / $102.33	Professional	26	$19.50	$27.54	$102.33
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $30.20 / $40.74 / $67.61	Professional	TC	$30.20	$40.74	$67.61
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $83.18 / $131.83	Professional		$54.95	$83.18	$131.83
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.88 / $53.70	Professional	26	$22.39	$33.88	$53.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $50.12 / $79.43	Professional	TC	$33.11	$50.12	$79.43
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Professional	26	$30.90	$30.90	$30.90
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $21.38 / $27.54	Professional	TC	$21.38	$21.38	$27.54
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $18.62 / $57.54	Professional	26	$18.20	$18.62	$57.54
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $67.61 / $81.28	Professional		$67.61	$67.61	$81.28
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $26.92 / $31.62	Professional	26	$26.92	$26.92	$31.62
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $41.69 / $48.98	Professional	TC	$40.74	$41.69	$48.98
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $28.84 / $47.86 / $77.62	Facility		$28.84	$47.86	$77.62
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $35.48 / $72.44 / $151.36	Professional		$35.48	$72.44	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $29.51 / $72.44	Professional	26	$14.13	$29.51	$72.44
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $42.66 / $85.11	Professional	TC	$21.38	$42.66	$85.11
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $83.18 / $144.54	Professional		$54.95	$83.18	$144.54
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $33.11 / $57.54	Professional	26	$22.39	$33.11	$57.54
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $47.86 / $87.10	Professional	TC	$33.11	$47.86	$87.10

New York rates for HCPCS 88112