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 $70.79 / $147.91 / $426.58	Facility		$70.79	$147.91	$426.58
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $26.30 / $41.69 / $194.98	Facility	26	$26.30	$41.69	$194.98
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $79.43 / $204.17	Professional		$39.81	$79.43	$204.17
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $26.92 / $38.02 / $95.50	Professional	26	$26.92	$38.02	$95.50
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $54.95 / $186.21 / $389.05	Professional	50	$54.95	$186.21	$389.05
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $16.22 / $16.22 / $20.89	Professional	52	$16.22	$16.22	$20.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.49 / $36.31 / $107.15	Professional	TC	$15.49	$36.31	$107.15
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $43.65 / $47.86	Professional		$38.90	$43.65	$47.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $27.54 / $29.51	Professional	26	$25.12	$27.54	$29.51
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $14.79 / $19.05	Professional	TC	$14.79	$14.79	$19.05
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $61.66 / $72.44 / $138.04	Professional		$61.66	$72.44	$138.04
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $41.69 / $57.54	Professional	26	$34.67	$41.69	$57.54
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $91.20 / $109.65 / $204.17	Professional	50	$91.20	$109.65	$204.17
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.70 / $30.20 / $89.13	Professional	TC	$25.70	$30.20	$89.13
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.88 / $33.88 / $42.66	Facility		$33.88	$33.88	$42.66
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $42.66 / $77.62	Professional		$33.88	$42.66	$77.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $74.13 / $74.13 / $50,118.72	Facility		$74.13	$74.13	$50,118.72
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $7.24 / $33.88 / $47.86	Facility	26	$7.24	$33.88	$47.86
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $102.33 / $218.78	Professional		$44.67	$102.33	$218.78
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.44 / $43.65 / $102.33	Professional	26	$23.44	$43.65	$102.33
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $57.54 / $125.89	Professional	TC	$17.78	$57.54	$125.89
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $21.88 / $48.98 / $89.13	Facility		$21.88	$48.98	$89.13
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $54.95 / $67.61 / $100.00	Professional		$54.95	$67.61	$100.00
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $48.98 / $87.10	Professional	26	$33.11	$48.98	$87.10
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $26.30 / $37.15	Professional	TC	$20.89	$26.30	$37.15
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $63.10 / $100.00	Professional		$37.15	$63.10	$100.00
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $38.02 / $64.57	Professional	26	$22.91	$38.02	$64.57
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.45 / $28.18 / $50.12	Professional	TC	$14.45	$28.18	$50.12
Fidelis Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $32.36 / $32.36	Professional	26	$32.36	$32.36	$32.36
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $436.52 / $512.86 / $562.34	Facility		$436.52	$512.86	$562.34
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $47.86 / $50,118.72 / $75,857.76	Facility		$47.86	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $85.11 / $123.03	Professional		$70.79	$85.11	$123.03
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $42.66 / $67.61	Professional	26	$34.67	$42.66	$67.61
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.11 / $41.69 / $60.26	Professional	TC	$33.11	$41.69	$60.26
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $67.61 / $281.84 / $380.19	Facility		$67.61	$281.84	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $46.77 / $72.44 / $177.83	Professional		$46.77	$72.44	$177.83
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $42.66 / $107.15	Professional	26	$24.55	$42.66	$107.15
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $29.51 / $97.72	Professional	TC	$19.05	$29.51	$97.72
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $22.39 / $38.90 / $213.80	Facility		$22.39	$38.90	$213.80
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $33.11 / $91.20	Facility	26	$18.62	$33.11	$91.20
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $63.10 / $120.23	Professional		$38.90	$63.10	$120.23
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.91 / $33.11 / $77.62	Professional	26	$22.91	$33.11	$77.62
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.80 / $22.91 / $53.70	Professional	TC	$13.80	$22.91	$53.70

New York rates for HCPCS 92136