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 $91.20 / $117.49 / $165.96	Professional		$91.20	$117.49	$165.96
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.02 / $15.14 / $29.51	Professional	26	$12.02	$15.14	$29.51
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $102.33 / $147.91	Professional	TC	$79.43	$102.33	$147.91
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $128.82 / $128.82 / $134.90	Professional		$128.82	$128.82	$134.90
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $107.15 / $281.84	Professional		$85.11	$107.15	$281.84
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $15.49 / $33.88	Professional	26	$12.30	$15.49	$33.88
Anthem BCBS Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $128.82 / $158.49 / $426.58	Professional	50	$128.82	$158.49	$426.58
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $91.20 / $251.19	Professional	TC	$72.44	$91.20	$251.19
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.89 / $144.54 / $165.96	Professional		$20.89	$144.54	$165.96
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.55 / $16.60 / $23.99	Facility	26	$3.55	$16.60	$23.99
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $144.54 / $389.05	Professional		$97.72	$144.54	$389.05
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $19.05 / $47.86	Professional	26	$13.49	$19.05	$47.86
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $89.13 / $128.82 / $338.84	Professional	TC	$89.13	$128.82	$338.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $112.20 / $173.78 / $275.42	Professional		$112.20	$173.78	$275.42
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $20.42 / $30.90	Professional	26	$14.45	$20.42	$30.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $165.96 / $245.47	Professional	TC	$144.54	$165.96	$245.47
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $85.11 / $112.20 / $229.09	Professional		$85.11	$112.20	$229.09
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.23 / $13.80 / $25.70	Professional	26	$10.23	$13.80	$25.70
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $102.33 / $204.17	Professional	TC	$74.13	$102.33	$204.17
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $123.03 / $123.03 / $125.89	Professional		$123.03	$123.03	$125.89
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $134.90 / $181.97	Professional		$104.71	$134.90	$181.97
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.80 / $19.05 / $24.55	Professional	26	$13.80	$19.05	$24.55
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $114.82 / $158.49	Professional	TC	$85.11	$114.82	$158.49
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $128.82 / $263.03	Professional		$83.18	$128.82	$263.03
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.22 / $15.49 / $34.67	Professional	26	$11.22	$15.49	$34.67
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $74.13 / $112.20 / $229.09	Professional	TC	$74.13	$112.20	$229.09
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.80 / $13.80 / $13.80	Facility	26	$13.80	$13.80	$13.80
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $112.20 / $239.88	Professional		$91.20	$112.20	$239.88
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $13.49 / $27.54	Professional	26	$10.96	$13.49	$27.54
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $102.33 / $213.80	Professional	TC	$81.28	$102.33	$213.80

New York rates for HCPCS 92546