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 $95.50 / $109.65 / $245.47	Facility		$95.50	$109.65	$245.47
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $72.44 / $177.83 / $194.98	Facility	TC	$72.44	$177.83	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $81.28 / $218.78	Professional		$43.65	$81.28	$218.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.00 / $48.98 / $154.88	Professional	26	$10.00	$48.98	$154.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $66.07 / $181.97	Professional	TC	$36.31	$66.07	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.84 / $72.44 / $245.47	Professional		$28.84	$72.44	$245.47
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $13.80 / $43.65	Professional	26	$5.01	$13.80	$43.65
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $23.99 / $63.10 / $190.55	Professional	TC	$23.99	$63.10	$190.55
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.24 / $16.98 / $95.50	Facility		$7.24	$16.98	$95.50
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $16.98 / $57.54 / $112.20	Professional		$16.98	$57.54	$112.20
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $131.83 / $147.91 / $177.83	Facility		$131.83	$147.91	$177.83
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.02 / $14.13 / $20.42	Facility	26	$3.02	$14.13	$20.42
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $16.98 / $77.62 / $112.20	Facility	TC	$16.98	$77.62	$112.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $89.13 / $263.03	Professional		$39.81	$89.13	$263.03
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.46 / $14.45 / $38.90	Professional	26	$6.46	$14.45	$38.90
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $35.48 / $74.13 / $223.87	Professional	TC	$35.48	$74.13	$223.87
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 $52.48 / $83.18 / $125.89	Professional		$52.48	$83.18	$125.89
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $8.51 / $12.02 / $64.57	Professional	26	$8.51	$12.02	$64.57
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $53.70 / $69.18 / $109.65	Professional	TC	$53.70	$69.18	$109.65
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $89.13 / $162.18	Professional		$28.18	$89.13	$162.18
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $12.88 / $23.44	Professional	26	$9.77	$12.88	$23.44
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $75.86 / $138.04	Professional	TC	$16.98	$75.86	$138.04
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $3.98 / $8.32 / $9.55	Professional		$3.98	$8.32	$9.55
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.98 / $10.47 / $18.62	Professional	26	$3.98	$10.47	$18.62
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.47 / $10.47 / $10.47	Professional	TC	$10.47	$10.47	$10.47
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $89.13 / $138.04	Professional		$81.28	$89.13	$138.04
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $12.30 / $25.70	Professional	26	$11.48	$12.30	$25.70
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $83.18 / $91.20	Professional		$74.13	$83.18	$91.20
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 $61.66 / $70.79 / $79.43	Professional	TC	$61.66	$70.79	$79.43
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $12.88 / $81.28 / $95.50	Facility		$12.88	$81.28	$95.50
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $41.69 / $83.18 / $141.25	Professional		$41.69	$83.18	$141.25
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $6.31 / $12.30 / $28.18	Professional	26	$6.31	$12.30	$28.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $64.57 / $125.89	Professional	TC	$34.67	$64.57	$125.89
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $83.18 / $173.78	Professional		$28.18	$83.18	$173.78
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $12.02 / $25.12	Professional	26	$9.77	$12.02	$25.12
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $70.79 / $147.91	Professional	TC	$16.98	$70.79	$147.91

New York rates for HCPCS 88313