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 $23.99 / $30.20 / $61.66	Professional		$23.99	$30.20	$61.66
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $23.99 / $33.88	Professional	26	$17.78	$23.99	$33.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.00 / $3.98 / $28.84	Professional	TC	$2.00	$3.98	$28.84
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.91 / $28.84 / $91.20	Professional		$22.91	$28.84	$91.20
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.95 / $25.70 / $50.12	Professional	26	$19.95	$25.70	$50.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.57 / $3.72 / $25.12	Professional	TC	$2.57	$3.72	$25.12
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $6.17 / $35.48 / $41.69	Professional		$6.17	$35.48	$41.69
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $6.03 / $28.18 / $39.81	Facility	26	$6.03	$28.18	$39.81
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $42.66 / $109.65	Professional		$26.92	$42.66	$109.65
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $28.18 / $70.79	Professional	26	$20.89	$28.18	$70.79
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $5.75 / $57.54	Professional	TC	$3.63	$5.75	$57.54
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $22.39 / $39.81 / $60.26	Professional		$22.39	$39.81	$60.26
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $23.99 / $33.88 / $51.29	Professional	26	$23.99	$33.88	$51.29
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $4.90 / $5.37 / $8.71	Professional	TC	$4.90	$5.37	$8.71
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.95 / $36.31 / $50.12	Professional		$19.95	$36.31	$50.12
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.14 / $21.38 / $43.65	Professional	26	$15.14	$21.38	$43.65
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $2.95 / $5.25 / $28.18	Professional	TC	$2.95	$5.25	$28.18
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $31.62 / $31.62 / $35.48	Professional		$31.62	$31.62	$35.48
Highmark BCBS Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $17.78 / $17.78 / $17.78	Professional	52	$17.78	$17.78	$17.78
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $36.31 / $53.70	Professional		$26.92	$36.31	$53.70
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $22.39 / $30.90 / $41.69	Professional	26	$22.39	$30.90	$41.69
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.63 / $5.13 / $7.76	Professional	TC	$3.63	$5.13	$7.76
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $33.11 / $69.18	Professional		$21.88	$33.11	$69.18
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $25.70 / $58.88	Professional	26	$16.98	$25.70	$58.88
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.39 / $5.01 / $23.44	Professional	TC	$3.39	$5.01	$23.44
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $23.44 / $23.44 / $23.44	Facility	26	$23.44	$23.44	$23.44
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.88 / $30.90 / $53.70	Professional		$21.88	$30.90	$53.70
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.38 / $45.71	Professional	26	$15.85	$21.38	$45.71
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $3.09 / $4.79 / $28.18	Professional	TC	$3.09	$4.79	$28.18

New York rates for HCPCS 92542