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 $25.12 / $34.67 / $93.33	Professional		$25.12	$34.67	$93.33
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $21.88	Professional	26	$12.02	$15.14	$21.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.88 / $15.85 / $34.67	Professional	TC	$12.88	$15.85	$34.67
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $32.36 / $41.69	Professional		$31.62	$32.36	$41.69
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.44 / $33.11 / $91.20	Professional		$23.44	$33.11	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $14.45 / $38.02	Professional	26	$11.22	$14.45	$38.02
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $17.38 / $51.29	Professional	TC	$12.02	$17.38	$51.29
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $24.55	Facility		$22.39	$22.39	$24.55
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $24.55 / $46.77	Professional		$22.39	$24.55	$46.77
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.80 / $17.78 / $25.70	Facility	26	$3.80	$17.78	$25.70
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $23.99 / $45.71 / $114.82	Professional		$23.99	$45.71	$114.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $19.95 / $52.48	Professional	26	$10.96	$19.95	$52.48
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.59 / $23.99 / $70.79	Professional	TC	$12.59	$23.99	$70.79
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $39.81 / $67.61	Professional		$26.30	$39.81	$67.61
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.49 / $21.88 / $33.11	Professional	26	$15.49	$21.88	$33.11
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $24.55 / $37.15	Professional	TC	$21.88	$24.55	$37.15
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Facility	26	$14.79	$14.79	$14.79
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $39.81 / $57.54	Professional		$22.91	$39.81	$57.54
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $27.54	Professional	26	$10.96	$15.14	$27.54
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $21.88 / $30.20	Professional	TC	$12.02	$21.88	$30.20
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $39.81 / $39.81	Professional		$30.90	$39.81	$39.81
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $40.74 / $61.66	Professional		$30.90	$40.74	$61.66
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $19.95 / $26.92	Professional	26	$14.79	$19.95	$26.92
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $20.89 / $32.36	Professional	TC	$16.22	$20.89	$32.36
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $34.67 / $74.13	Professional		$21.38	$34.67	$74.13
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $15.49 / $35.48	Professional	26	$9.77	$15.49	$35.48
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.48 / $18.62 / $40.74	Professional	TC	$11.48	$18.62	$40.74
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $14.79 / $14.79	Facility	26	$14.79	$14.79	$14.79
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $37.15 / $61.66	Professional		$22.91	$37.15	$61.66
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $14.45 / $29.51	Professional	26	$10.96	$14.45	$29.51
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.02 / $19.05 / $31.62	Professional	TC	$12.02	$19.05	$31.62

New York rates for HCPCS 92081