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 $75.86 / $123.03 / $245.47	Facility		$75.86	$123.03	$245.47
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $22.39 / $38.90 / $38.90	Facility	26	$22.39	$38.90	$38.90
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $44.67 / $114.82 / $331.13	Facility	TC	$44.67	$114.82	$331.13
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $112.20 / $426.58	Professional		$67.61	$112.20	$426.58
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $72.44 / $316.23	Professional	26	$23.99	$72.44	$316.23
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $43.65 / $64.57 / $218.78	Professional	TC	$43.65	$64.57	$218.78
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 $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $104.71 / $251.19	Professional		$44.67	$104.71	$251.19
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.22 / $39.81 / $97.72	Professional	26	$16.22	$39.81	$97.72
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $29.51 / $30.20 / $162.18	Professional	TC	$29.51	$30.20	$162.18
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $20.89 / $50.12 / $97.72	Facility		$20.89	$50.12	$97.72
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $74.13 / $147.91	Professional		$48.98	$74.13	$147.91
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $151.36 / $177.83 / $181.97	Facility		$151.36	$177.83	$181.97
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.72 / $50.12 / $70.79	Facility	26	$10.72	$50.12	$70.79
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $18.20 / $85.11 / $123.03	Facility	TC	$18.20	$85.11	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $58.88 / $125.89 / $380.19	Professional		$58.88	$125.89	$380.19
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $43.65 / $138.04	Professional	26	$20.89	$43.65	$138.04
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $36.31 / $87.10 / $234.42	Professional	TC	$36.31	$87.10	$234.42
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $107.15 / $186.21	Professional		$70.79	$107.15	$186.21
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $34.67 / $85.11	Professional	26	$24.55	$34.67	$85.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $81.28 / $123.03	Professional	TC	$58.88	$81.28	$123.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $114.82 / $208.93	Professional		$85.11	$114.82	$208.93
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $38.90 / $67.61	Professional	26	$28.18	$38.90	$67.61
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $77.62 / $141.25	Professional	TC	$51.29	$77.62	$141.25
Fidelis Facility/Professional Professional Modifier Typical Low / Median / Typical High $10.23 / $21.38 / $24.55	Professional		$10.23	$21.38	$24.55
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $30.90 / $46.77	Professional	26	$10.23	$30.90	$46.77
Fidelis Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $24.55 / $24.55 / $24.55	Professional	TC	$24.55	$24.55	$24.55
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $125.89 / $199.53	Professional		$104.71	$125.89	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $36.31 / $72.44	Professional	26	$33.88	$36.31	$72.44
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $70.79 / $70.79 / $70.79	Professional	TC	$70.79	$70.79	$70.79
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $104.71 / $213.80	Professional		$104.71	$104.71	$213.80
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $33.88 / $69.18	Professional	26	$33.88	$33.88	$69.18
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $72.44 / $144.54	Professional	TC	$72.44	$72.44	$144.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $36.31 / $91.20 / $128.82	Facility		$36.31	$91.20	$128.82
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $56.23 / $114.82 / $208.93	Professional		$56.23	$114.82	$208.93
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $36.31 / $85.11	Professional	26	$18.20	$36.31	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $69.18 / $128.82	Professional	TC	$38.02	$69.18	$128.82
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $223.87	Professional		$85.11	$107.15	$223.87
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $36.31 / $72.44	Professional	26	$28.18	$36.31	$72.44
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $72.44 / $151.36	Professional	TC	$51.29	$72.44	$151.36

New York rates for HCPCS 88342