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 $18.62 / $85.11 / $229.09	Facility		$18.62	$85.11	$229.09
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.82 / $4.79 / $21.38	Facility	26	$2.82	$4.79	$21.38
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.20 / $30.20 / $81.28	Professional		$18.20	$30.20	$81.28
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.80 / $17.78	Professional	26	$2.00	$3.80	$17.78
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $12.59 / $12.59 / $12.59	Professional	52	$12.59	$12.59	$12.59
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $22.91 / $47.86	Professional	TC	$15.14	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $21.38	Professional		$19.50	$19.50	$21.38
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $21.88 / $50.12	Professional		$17.38	$21.88	$50.12
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.34 / $2.95 / $7.59	Professional	26	$2.34	$2.95	$7.59
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $26.30 / $32.36 / $75.86	Professional	50	$26.30	$32.36	$75.86
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $18.62 / $43.65	Professional	TC	$15.14	$18.62	$43.65
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $4.27 / $4.27 / $27.54	Facility		$4.27	$4.27	$27.54
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $4.27 / $27.54 / $31.62	Professional		$4.27	$27.54	$31.62
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $35.48 / $50,118.72	Facility		$35.48	$35.48	$50,118.72
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.72 / $3.39 / $4.79	Facility	26	$0.72	$3.39	$4.79
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $39.81 / $95.50	Professional		$17.38	$39.81	$95.50
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.45 / $6.03 / $19.50	Professional	26	$2.45	$6.03	$19.50
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $33.11 / $79.43	Professional	TC	$15.14	$33.11	$79.43
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $25.12 / $38.02 / $83.18	Facility		$25.12	$38.02	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $28.18 / $37.15 / $48.98	Professional		$28.18	$37.15	$48.98
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.63 / $5.25 / $46.77	Professional	26	$3.63	$5.25	$46.77
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $33.11 / $42.66	Professional	TC	$25.12	$33.11	$42.66
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $30.20 / $57.54	Professional		$19.05	$30.20	$57.54
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.51 / $3.98 / $7.41	Professional	26	$2.51	$3.98	$7.41
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $26.30 / $50.12	Professional	TC	$16.22	$26.30	$50.12
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $251.19 / $251.19 / $416.87	Facility		$251.19	$251.19	$416.87
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.70 / $29.51 / $60.26	Professional		$25.70	$29.51	$60.26
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.72 / $4.37 / $7.76	Professional	26	$3.72	$4.37	$7.76
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $25.70 / $52.48	Professional	TC	$21.88	$25.70	$52.48
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $66.07 / $87.10 / $107.15	Facility		$66.07	$87.10	$107.15
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $35.48 / $93.33	Professional		$19.95	$35.48	$93.33
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.82 / $4.57 / $13.18	Professional	26	$2.82	$4.57	$13.18
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.38 / $30.90 / $81.28	Professional	TC	$17.38	$30.90	$81.28
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $18.62 / $25.12 / $134.90	Facility		$18.62	$25.12	$134.90
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.45 / $3.31 / $34.67	Facility	26	$2.45	$3.31	$34.67
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $29.51 / $74.13	Professional		$18.62	$29.51	$74.13
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.45 / $3.89 / $9.55	Professional	26	$2.45	$3.89	$9.55
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $24.55 / $53.70	Professional	TC	$16.22	$24.55	$53.70

New York rates for HCPCS 92285