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 $173.78 / $257.04 / $602.56	Professional		$173.78	$257.04	$602.56
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.18 / $47.86 / $426.58	Professional	26	$28.18	$47.86	$426.58
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $218.78 / $478.63	Professional	TC	$147.91	$218.78	$478.63
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $141.25 / $660.69	Professional		$141.25	$141.25	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.62 / $18.62 / $102.33	Professional	26	$18.62	$18.62	$102.33
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $123.03 / $575.44	Professional	TC	$123.03	$123.03	$575.44
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $245.47 / $478.63	Professional		$61.66	$245.47	$478.63
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $10.00 / $46.77 / $66.07	Facility	26	$10.00	$46.77	$66.07
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $338.84 / $1,000.00	Professional		$123.03	$338.84	$1,000.00
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $51.29 / $131.83	Professional	26	$23.99	$51.29	$131.83
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $97.72 / $288.40 / $831.76	Professional	TC	$97.72	$288.40	$831.76
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $245.47 / $416.87	Professional		$177.83	$245.47	$416.87
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $34.67 / $57.54	Professional	26	$24.55	$34.67	$57.54
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $147.91 / $208.93 / $354.81	Professional	TC	$147.91	$208.93	$354.81
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $380.19 / $562.34	Professional		$177.83	$380.19	$562.34
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $56.23 / $81.28	Professional	26	$35.48	$56.23	$81.28
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $123.03 / $275.42 / $478.63	Professional	TC	$123.03	$275.42	$478.63
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $83.18 / $93.33	Professional	26	$44.67	$83.18	$93.33
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $288.40 / $288.40 / $354.81	Professional		$288.40	$288.40	$354.81
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $40.74 / $40.74 / $48.98	Professional	26	$40.74	$40.74	$48.98
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $245.47 / $245.47 / $309.03	Professional	TC	$245.47	$245.47	$309.03
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $141.25 / $288.40 / $630.96	Professional		$141.25	$288.40	$630.96
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $40.74 / $87.10	Professional	26	$22.39	$40.74	$87.10
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $120.23 / $251.19 / $562.34	Professional	TC	$120.23	$251.19	$562.34
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $177.83 / $323.59 / $602.56	Professional		$177.83	$323.59	$602.56
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.88 / $48.98 / $89.13	Professional	26	$33.88	$48.98	$89.13
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $263.03 / $512.86	Professional	TC	$107.15	$263.03	$512.86

New York rates for HCPCS 88374