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 $13.49 / $14.45 / $89.13	Facility		$13.49	$14.45	$89.13
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Facility	26	$17.78	$17.78	$17.78
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $8.71 / $12.59 / $23.44	Facility	TC	$8.71	$12.59	$23.44
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $19.50 / $54.95	Professional		$12.88	$19.50	$54.95
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.91 / $25.70 / $83.18	Professional	26	$8.91	$25.70	$83.18
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $5.01 / $7.08 / $21.38	Professional	TC	$5.01	$7.08	$21.38
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $18.62 / $18.62	Professional		$18.62	$18.62	$18.62
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $9.12 / $22.91 / $53.70	Professional		$9.12	$22.91	$53.70
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $14.13 / $31.62	Professional	26	$5.37	$14.13	$31.62
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.72 / $7.41 / $21.88	Professional	TC	$3.72	$7.41	$21.88
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $5.01 / $11.75 / $17.78	Facility		$5.01	$11.75	$17.78
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $8.91 / $15.14 / $29.51	Professional		$8.91	$15.14	$29.51
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.50 / $23.44 / $34.67	Facility		$19.50	$23.44	$34.67
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.16 / $14.79 / $21.38	Facility	26	$3.16	$14.79	$21.38
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $2.00 / $9.33 / $13.18	Facility	TC	$2.00	$9.33	$13.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.96 / $24.55 / $67.61	Professional		$10.96	$24.55	$67.61
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $14.79 / $40.74	Professional	26	$6.61	$14.79	$40.74
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.27 / $10.00 / $28.84	Professional	TC	$4.27	$10.00	$28.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $2.00 / $2.00 / $2.00	Facility		$2.00	$2.00	$2.00
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $14.79 / $19.95 / $33.11	Professional		$14.79	$19.95	$33.11
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.24 / $12.02 / $18.20	Professional	26	$7.24	$12.02	$18.20
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.46 / $8.71 / $14.13	Professional	TC	$6.46	$8.71	$14.13
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $24.55 / $39.81	Professional		$16.60	$24.55	$39.81
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $14.45 / $23.44	Professional	26	$10.00	$14.45	$23.44
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.92 / $9.77 / $16.60	Professional	TC	$6.92	$9.77	$16.60
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Professional	26	$13.18	$13.18	$13.18
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.59 / $12.88 / $25.12	Professional	26	$12.59	$12.88	$25.12
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $20.42 / $23.44	Professional		$20.42	$20.42	$23.44
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $11.75 / $14.13	Professional	26	$11.75	$11.75	$14.13
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.71 / $8.71 / $10.47	Professional	TC	$8.71	$8.71	$10.47
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $10.00 / $13.18 / $22.91	Facility		$10.00	$13.18	$22.91
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.47 / $21.38 / $43.65	Professional		$10.47	$21.38	$43.65
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.61 / $12.30 / $30.20	Professional	26	$6.61	$12.30	$30.20
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.57 / $9.12 / $17.38	Professional	TC	$4.57	$9.12	$17.38
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.60 / $24.55 / $46.77	Professional		$16.60	$24.55	$46.77
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $14.45 / $26.92	Professional	26	$9.77	$14.45	$26.92
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $6.92 / $9.77 / $19.50	Professional	TC	$6.92	$9.77	$19.50

New York rates for HCPCS 88311