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 $51.29 / $144.54 / $3,890.45	Facility		$51.29	$144.54	$3,890.45
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $20.42 / $27.54 / $83.18	Facility	26	$20.42	$27.54	$83.18
Aetna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $22.39 / $147.91 / $380.19	Facility	TC	$22.39	$147.91	$380.19
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $69.18 / $138.04	Professional		$33.11	$69.18	$138.04
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $50.12 / $70.79 / $70.79	Professional	25	$50.12	$70.79	$70.79
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $18.20 / $29.51 / $75.86	Professional	26	$18.20	$29.51	$75.86
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $81.28 / $234.42 / $338.84	Professional	50	$81.28	$234.42	$338.84
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $38.02 / $43.65 / $87.10	Professional	52	$38.02	$43.65	$87.10
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $36.31 / $93.33	Professional	TC	$14.13	$36.31	$93.33
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.90 / $35.48 / $41.69	Professional		$30.90	$35.48	$41.69
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $19.95 / $23.44	Professional	TC	$19.95	$19.95	$23.44
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $33.11 / $120.23	Professional		$26.30	$33.11	$120.23
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.13 / $17.78 / $41.69	Professional	26	$14.13	$17.78	$41.69
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $39.81 / $48.98 / $173.78	Professional	50	$39.81	$48.98	$173.78
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $12.30 / $15.49 / $81.28	Professional	TC	$12.30	$15.49	$81.28
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $25.12 / $30.20	Facility		$25.12	$25.12	$30.20
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $54.95	Professional		$25.12	$30.20	$54.95
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $57.54 / $57.54 / $50,118.72	Facility		$57.54	$57.54	$50,118.72
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.01 / $22.91 / $33.11	Facility	26	$5.01	$22.91	$33.11
Cigna Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $3.80 / $17.78 / $25.12	Facility	TC	$3.80	$17.78	$25.12
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.88 / $85.11 / $199.53	Professional		$33.88	$85.11	$199.53
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $31.62 / $81.28	Professional	26	$16.60	$31.62	$81.28
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $50.12 / $128.82	Professional	TC	$14.79	$50.12	$128.82
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.95 / $39.81 / $70.79	Facility		$19.95	$39.81	$70.79
Emblem Health Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $45.71 / $45.71 / $54.95	Facility	TC	$45.71	$45.71	$54.95
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $42.66 / $56.23 / $77.62	Professional		$42.66	$56.23	$77.62
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.88 / $75.86	Professional	26	$21.88	$33.88	$75.86
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $26.30 / $34.67	Professional	TC	$19.95	$26.30	$34.67
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $16.22 / $16.22	Facility		$16.22	$16.22	$16.22
Excellus BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.77 / $9.77 / $9.77	Facility	TC	$9.77	$9.77	$9.77
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $52.48 / $79.43	Professional		$25.70	$52.48	$79.43
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $25.70 / $43.65	Professional	26	$16.60	$25.70	$43.65
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $11.75 / $23.44 / $39.81	Professional	TC	$11.75	$23.44	$39.81
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $162.18 / $416.87 / $512.86	Facility		$162.18	$416.87	$512.86
Highmark BCBS Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $37.15 / $37.15 / $60.26	Facility	TC	$37.15	$37.15	$60.26
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $63.10 / $91.20	Professional		$48.98	$63.10	$91.20
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	26	$51.29	$51.29	$51.29
Highmark BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.90 / $38.90 / $38.90	Professional	TC	$38.90	$38.90	$38.90
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $34.67 / $50,118.72 / $75,857.76	Facility		$34.67	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $51.29 / $61.66 / $125.89	Professional		$51.29	$61.66	$125.89
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $24.55 / $29.51 / $54.95	Professional	26	$24.55	$29.51	$54.95
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $31.62 / $57.54	Professional	TC	$26.30	$31.62	$57.54
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $60.26 / $281.84 / $380.19	Facility		$60.26	$281.84	$380.19
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $37.15 / $47.86 / $125.89	Professional		$37.15	$47.86	$125.89
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $29.51 / $77.62	Professional	26	$16.98	$29.51	$77.62
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $25.12 / $53.70	Professional	TC	$18.20	$25.12	$53.70
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $16.22 / $30.20 / $147.91	Facility		$16.22	$30.20	$147.91
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $14.79 / $22.91 / $70.79	Facility	26	$14.79	$22.91	$70.79
Univera Facility/Professional Facility Modifier TC Typical Low / Median / Typical High $9.77 / $13.49 / $93.33	Facility	TC	$9.77	$13.49	$93.33
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $48.98 / $102.33	Professional		$30.20	$48.98	$102.33
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $25.70 / $53.70	Professional	26	$16.60	$25.70	$53.70
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $13.49 / $21.88 / $44.67	Professional	TC	$13.49	$21.88	$44.67

New York rates for HCPCS 92250