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 $56.23 / $61.66 / $616.60	Facility		$56.23	$61.66	$616.60
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.99 / $40.74 / $40.74	Facility	26	$23.99	$40.74	$40.74
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $21.88 / $58.88 / $194.98	Facility	TC	$21.88	$58.88	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $107.15 / $602.56	Professional		$48.98	$107.15	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $162.18 / $870.96	Professional	26	$34.67	$162.18	$870.96
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $75.86 / $645.65	Professional	TC	$21.88	$75.86	$645.65
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $66.07 / $66.07 / $75.86	Professional		$66.07	$66.07	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Professional	26	$34.67	$34.67	$34.67
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $85.11 / $269.15	Professional		$42.66	$85.11	$269.15
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $47.86 / $107.15	Professional	26	$23.99	$47.86	$107.15
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $35.48 / $128.82	Professional	TC	$18.20	$35.48	$128.82
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $45.71 / $53.70	Facility		$19.50	$45.71	$53.70
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $27.54 / $50.12 / $100.00	Professional		$27.54	$50.12	$100.00
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $72.44 / $89.13 / $144.54	Facility		$72.44	$89.13	$144.54
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $54.95 / $77.62	Facility	26	$11.75	$54.95	$77.62
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $10.23 / $47.86 / $67.61	Facility	TC	$10.23	$47.86	$67.61
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $85.11 / $316.23	Professional		$41.69	$85.11	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $45.71 / $120.23	Professional	26	$20.42	$45.71	$120.23
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $44.67 / $186.21	Professional	TC	$20.89	$44.67	$186.21
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Facility		$32.36	$32.36	$32.36
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $67.61 / $120.23	Professional		$44.67	$67.61	$120.23
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.30 / $37.15 / $95.50	Professional	26	$26.30	$37.15	$95.50
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.92 / $36.31 / $58.88	Professional	TC	$26.92	$36.31	$58.88
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $102.33 / $144.54	Professional		$57.54	$102.33	$144.54
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $52.48 / $72.44	Professional	26	$25.12	$52.48	$72.44
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $50.12 / $87.10	Professional	TC	$26.30	$50.12	$87.10
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $36.31 / $41.69	Professional		$17.38	$36.31	$41.69
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $40.74 / $52.48	Professional	26	$34.67	$40.74	$52.48
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $17.38 / $45.71	Professional	TC	$17.38	$17.38	$45.71
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $69.18 / $72.44 / $125.89	Professional		$69.18	$72.44	$125.89
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $38.90 / $77.62	Professional	26	$38.02	$38.90	$77.62
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $33.11 / $33.11	Professional	TC	$33.11	$33.11	$33.11
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $70.79 / $144.54	Professional		$70.79	$70.79	$144.54
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $36.31 / $36.31 / $74.13	Professional	26	$36.31	$36.31	$74.13
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $35.48 / $70.79	Professional	TC	$34.67	$35.48	$70.79
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $38.90 / $41.69 / $81.28	Facility		$38.90	$41.69	$81.28
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $75.86 / $173.78	Professional		$37.15	$75.86	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $38.90 / $91.20	Professional	26	$19.50	$38.90	$91.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $38.02 / $104.71	Professional	TC	$18.20	$38.02	$104.71
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $91.20 / $151.36	Professional		$57.54	$91.20	$151.36
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $45.71 / $77.62	Professional	26	$25.12	$45.71	$77.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $43.65 / $87.10	Professional	TC	$26.30	$43.65	$87.10

New York rates for HCPCS 88305