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 $63.10 / $89.13 / $234.42	Professional		$63.10	$89.13	$234.42
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $70.79 / $257.04	Professional	26	$23.99	$70.79	$257.04
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $40.74 / $61.66 / $141.25	Professional	TC	$40.74	$61.66	$141.25
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $37.15 / $37.15 / $57.54	Professional	26	$37.15	$37.15	$57.54
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $39.81 / $39.81 / $39.81	Professional	TC	$39.81	$39.81	$39.81
AmeriHealth Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $218.78 / $316.23	Professional		$162.18	$218.78	$316.23
AmeriHealth Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $64.57 / $91.20	Professional	26	$33.11	$64.57	$91.20
AmeriHealth Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $144.54 / $162.18	Professional	TC	$144.54	$144.54	$162.18
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $81.28 / $181.97	Professional		$53.70	$81.28	$181.97
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $35.48 / $69.18	Professional	26	$19.50	$35.48	$69.18
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $31.62 / $45.71 / $107.15	Professional	TC	$31.62	$45.71	$107.15
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $134.90 / $194.98	Professional		$83.18	$134.90	$194.98
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $38.02 / $75.86	Professional	26	$24.55	$38.02	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $97.72 / $123.03	Professional	TC	$58.88	$97.72	$123.03
Horizon BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $446.68 / $13,803.84 / $19,498.45	Facility		$446.68	$13,803.84	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $91.20 / $199.53	Professional		$58.88	$91.20	$199.53
Horizon BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $36.31 / $72.44	Professional	26	$23.99	$36.31	$72.44
Horizon BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $89.13 / $141.25	Professional	TC	$50.12	$89.13	$141.25
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $91.20 / $151.36	Professional		$51.29	$91.20	$151.36
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $29.51 / $48.98	Professional	26	$16.22	$29.51	$48.98
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $61.66 / $104.71	Professional	TC	$33.88	$61.66	$104.71

New Jersey rates for HCPCS 88342