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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $57.54 / $154.88	Professional		$39.81	$57.54	$154.88
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $22.91 / $63.10	Professional	26	$15.14	$22.91	$63.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $37.15 / $97.72	Professional	TC	$25.12	$37.15	$97.72
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $70.79 / $165.96	Professional		$26.92	$70.79	$165.96
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.47 / $28.18 / $61.66	Professional	26	$10.47	$28.18	$61.66
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.60 / $42.66 / $104.71	Professional	TC	$16.60	$42.66	$104.71
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $32.36 / $50.12 / $100.00	Professional		$32.36	$50.12	$100.00
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $81.28 / $251.19	Professional		$33.11	$81.28	$251.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $29.51 / $83.18	Professional	26	$13.49	$29.51	$83.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.62 / $52.48 / $162.18	Professional	TC	$18.62	$52.48	$162.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $128.82	Professional		$53.70	$81.28	$128.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $25.12 / $56.23	Professional	26	$17.78	$25.12	$56.23
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $58.88 / $93.33	Professional	TC	$38.02	$58.88	$93.33
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $89.13 / $158.49	Professional		$48.98	$89.13	$158.49
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $26.92 / $48.98	Professional	26	$20.42	$26.92	$48.98
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $61.66 / $109.65	Professional	TC	$28.84	$61.66	$109.65
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $16.60 / $16.60	Professional	26	$16.60	$16.60	$16.60
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $81.28 / $85.11	Professional		$67.61	$81.28	$85.11
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $28.84	Professional	26	$24.55	$24.55	$28.84
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $41.69 / $57.54 / $57.54	Professional	TC	$41.69	$57.54	$57.54
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $36.31 / $74.13 / $162.18	Professional		$36.31	$74.13	$162.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.12 / $53.70	Professional	26	$12.88	$25.12	$53.70
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.44 / $51.29 / $112.20	Professional	TC	$23.44	$51.29	$112.20
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $83.18 / $169.82	Professional		$48.98	$83.18	$169.82
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $25.12 / $52.48	Professional	26	$20.42	$25.12	$52.48
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.84 / $57.54 / $117.49	Professional	TC	$28.84	$57.54	$117.49

New York rates for HCPCS 88161