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 $75.86 / $162.18 / $380.19	Professional		$75.86	$162.18	$380.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.88 / $112.20	Professional	26	$15.14	$21.88	$112.20
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $58.88 / $144.54 / $323.59	Professional	TC	$58.88	$144.54	$323.59
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $64.57 / $436.52	Professional		$64.57	$64.57	$436.52
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.42 / $20.42 / $100.00	Professional	26	$20.42	$20.42	$100.00
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $44.67 / $44.67 / $346.74	Professional	TC	$44.67	$44.67	$346.74
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $144.54 / $281.84	Professional		$34.67	$144.54	$281.84
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.49 / $63.10 / $91.20	Facility	26	$13.49	$63.10	$91.20
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $213.80 / $660.69	Professional		$104.71	$213.80	$660.69
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $32.36 / $109.65	Professional	26	$14.45	$32.36	$109.65
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $75.86 / $173.78 / $588.84	Professional	TC	$75.86	$173.78	$588.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $144.54 / $186.21 / $295.12	Professional		$144.54	$186.21	$295.12
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.95 / $32.36	Professional	26	$13.80	$19.95	$32.36
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $107.15 / $165.96 / $263.03	Professional	TC	$107.15	$165.96	$263.03
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $162.18 / $229.09 / $389.05	Professional		$162.18	$229.09	$389.05
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $29.51 / $47.86	Professional	26	$21.88	$29.51	$47.86
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $204.17 / $346.74	Professional	TC	$144.54	$204.17	$346.74
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $31.62 / $51.29 / $51.29	Professional	26	$31.62	$51.29	$51.29
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $165.96 / $199.53 / $223.87	Professional		$165.96	$199.53	$223.87
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $22.39 / $26.92	Professional	26	$22.39	$22.39	$26.92
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $131.83 / $177.83 / $194.98	Professional	TC	$131.83	$177.83	$194.98
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $181.97 / $407.38	Professional		$97.72	$181.97	$407.38
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.88 / $25.70 / $56.23	Professional	26	$12.88	$25.70	$56.23
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $158.49 / $363.08	Professional	TC	$85.11	$158.49	$363.08
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $229.09 / $457.09	Professional		$138.04	$229.09	$457.09
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.05 / $27.54 / $53.70	Professional	26	$19.05	$27.54	$53.70
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $102.33 / $204.17 / $407.38	Professional	TC	$102.33	$204.17	$407.38

New York rates for HCPCS 88381