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 $144.54 / $257.04 / $776.25	Facility		$144.54	$257.04	$776.25
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Facility	26	$39.81	$39.81	$39.81
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $89.13 / $128.82 / $234.42	Facility	TC	$89.13	$128.82	$234.42
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $117.49 / $478.63	Professional		$61.66	$117.49	$478.63
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $75.86 / $275.42	Professional	26	$21.88	$75.86	$275.42
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $79.43 / $229.09	Professional	TC	$44.67	$79.43	$229.09
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	26	$24.55	$24.55	$24.55
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $107.15 / $263.03	Professional		$39.81	$107.15	$263.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $30.20 / $67.61	Professional	26	$11.22	$30.20	$67.61
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $28.18 / $74.13 / $194.98	Professional	TC	$28.18	$74.13	$194.98
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $15.85 / $38.02 / $117.49	Facility		$15.85	$38.02	$117.49
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.02 / $79.43 / $154.88	Professional		$38.02	$79.43	$154.88
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $181.97 / $186.21 / $223.87	Facility		$181.97	$186.21	$223.87
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.92 / $31.62 / $45.71	Facility	26	$6.92	$31.62	$45.71
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $20.42 / $95.50 / $134.90	Facility	TC	$20.42	$95.50	$134.90
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $57.54 / $123.03 / $354.81	Professional		$57.54	$123.03	$354.81
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $32.36 / $87.10	Professional	26	$14.79	$32.36	$87.10
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $93.33 / $281.84	Professional	TC	$43.65	$93.33	$281.84
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.59 / $7.59 / $7.59	Facility		$7.59	$7.59	$7.59
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $169.82	Professional		$70.79	$107.15	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $26.30 / $89.13	Professional	26	$18.62	$26.30	$89.13
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $83.18 / $131.83	Professional	TC	$64.57	$83.18	$131.83
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $123.03 / $218.78	Professional		$43.65	$123.03	$218.78
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $28.84 / $51.29	Professional	26	$17.78	$28.84	$51.29
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $93.33 / $169.82	Professional	TC	$26.30	$93.33	$169.82
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.37 / $11.22 / $12.59	Professional		$5.37	$11.22	$12.59
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.37 / $12.02 / $15.85	Professional	26	$5.37	$12.02	$15.85
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $12.59 / $14.13	Professional	TC	$12.59	$12.59	$14.13
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $123.03 / $190.55	Professional		$112.20	$123.03	$190.55
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $27.54 / $54.95	Professional	26	$26.92	$27.54	$54.95
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $112.20 / $125.89	Professional		$102.33	$112.20	$125.89
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.70 / $25.70 / $30.90	Professional	26	$25.70	$25.70	$30.90
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $87.10 / $95.50	Professional	TC	$75.86	$87.10	$95.50
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $100.00 / $128.82	Facility		$27.54	$100.00	$128.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $100.00 / $190.55	Professional		$56.23	$100.00	$190.55
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $27.54 / $45.71	Professional	26	$13.80	$27.54	$45.71
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $42.66 / $72.44 / $151.36	Professional	TC	$42.66	$72.44	$151.36
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $114.82 / $239.88	Professional		$43.65	$114.82	$239.88
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $26.92 / $54.95	Professional	26	$17.78	$26.92	$54.95
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $87.10 / $181.97	Professional	TC	$26.30	$87.10	$181.97

New York rates for HCPCS 88312