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 $87.10 / $112.20 / $213.80	Professional		$87.10	$112.20	$213.80
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $67.61 / $79.43 / $144.54	Professional	26	$67.61	$79.43	$144.54
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $117.49 / $117.49 / $117.49	Professional	52	$117.49	$117.49	$117.49
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $28.84 / $41.69	Professional	TC	$19.05	$28.84	$41.69
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $87.10 / $97.72 / $112.20	Professional		$87.10	$97.72	$112.20
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $102.33 / $239.88	Professional		$83.18	$102.33	$239.88
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $64.57 / $81.28 / $177.83	Professional	26	$64.57	$81.28	$177.83
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $23.44 / $63.10	Professional	TC	$17.78	$23.44	$63.10
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $112.20 / $154.88	Professional		$44.67	$112.20	$154.88
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $18.62 / $87.10 / $123.03	Facility	26	$18.62	$87.10	$123.03
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $346.74	Professional		$97.72	$131.83	$346.74
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $70.79 / $100.00 / $245.47	Professional	26	$70.79	$100.00	$245.47
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $22.91 / $36.31 / $93.33	Professional	TC	$22.91	$36.31	$93.33
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $134.90 / $218.78	Professional		$81.28	$134.90	$218.78
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $102.33 / $158.49	Professional	26	$72.44	$102.33	$158.49
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $34.67 / $39.81 / $60.26	Professional	TC	$34.67	$39.81	$60.26
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $97.72 / $186.21	Professional		$74.13	$97.72	$186.21
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $53.70 / $72.44 / $134.90	Professional	26	$53.70	$72.44	$134.90
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $18.20 / $34.67 / $53.70	Professional	TC	$18.20	$34.67	$53.70
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $120.23 / $123.03 / $123.03	Professional		$120.23	$123.03	$123.03
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $60.26 / $60.26 / $60.26	Professional	52	$60.26	$60.26	$60.26
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $131.83 / $169.82	Professional		$97.72	$131.83	$169.82
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $72.44 / $100.00 / $131.83	Professional	26	$72.44	$100.00	$131.83
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.88 / $33.11 / $39.81	Professional	TC	$21.88	$33.11	$39.81
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $107.15 / $239.88	Professional		$79.43	$107.15	$239.88
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $58.88 / $81.28 / $181.97	Professional	26	$58.88	$81.28	$181.97
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $69.18	Professional	TC	$19.05	$30.20	$69.18
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $72.44 / $72.44 / $72.44	Facility	26	$72.44	$72.44	$72.44
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $81.28 / $97.72 / $199.53	Professional		$81.28	$97.72	$199.53
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $57.54 / $70.79 / $141.25	Professional	26	$57.54	$70.79	$141.25
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.42 / $30.90 / $56.23	Professional	TC	$20.42	$30.90	$56.23

New York rates for HCPCS 92540