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 $34.67 / $50.12 / $141.25	Professional		$34.67	$50.12	$141.25
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $70.79 / $208.93	Professional	26	$22.91	$70.79	$208.93
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $18.20 / $50.12	Professional	TC	$12.02	$18.20	$50.12
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $60.26 / $144.54	Professional		$23.44	$60.26	$144.54
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $38.90 / $87.10	Professional	26	$15.14	$38.90	$87.10
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.32 / $21.38 / $51.29	Professional	TC	$8.32	$21.38	$51.29
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $39.81 / $77.62	Professional		$25.70	$39.81	$77.62
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.32 / $38.90 / $56.23	Facility	26	$8.32	$38.90	$56.23
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $66.07 / $190.55	Professional		$30.90	$66.07	$190.55
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $40.74 / $114.82	Professional	26	$16.98	$40.74	$114.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $25.70 / $69.18	Professional	TC	$12.02	$25.70	$69.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $40.74 / $52.48 / $83.18	Professional		$40.74	$52.48	$83.18
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $32.36 / $52.48	Professional	26	$21.88	$32.36	$52.48
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $21.88 / $35.48	Professional	TC	$16.22	$21.88	$35.48
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $109.65	Professional		$45.71	$67.61	$109.65
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $29.51 / $41.69 / $67.61	Professional	26	$29.51	$41.69	$67.61
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.70 / $41.69	Professional	TC	$17.38	$25.70	$41.69
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $39.81 / $51.29	Professional	26	$32.36	$39.81	$51.29
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $44.67 / $72.44	Professional	26	$23.44	$44.67	$72.44
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $54.95 / $66.07	Professional		$54.95	$54.95	$66.07
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $40.74	Professional	26	$33.88	$33.88	$40.74
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $21.88 / $25.70	Professional	TC	$20.89	$21.88	$25.70
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $56.23 / $112.20	Professional		$28.84	$56.23	$112.20
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $34.67 / $77.62	Professional	26	$17.78	$34.67	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $22.39 / $51.29	Professional	TC	$10.96	$22.39	$51.29
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $45.71 / $67.61 / $128.82	Professional		$45.71	$67.61	$128.82
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $41.69 / $79.43	Professional	26	$28.18	$41.69	$79.43
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $25.70 / $48.98	Professional	TC	$17.38	$25.70	$48.98

New York rates for HCPCS 88172