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 26 Typical Low / Median / Typical High $38.02 / $48.98 / $131.83	Facility	26	$38.02	$48.98	$131.83
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $64.57 / $89.13 / $194.98	Professional		$64.57	$89.13	$194.98
Aetna Facility/Professional Professional Modifier 25 Typical Low / Median / Typical High $114.82 / $114.82 / $114.82	Professional	25	$114.82	$114.82	$114.82
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $33.11 / $46.77 / $125.89	Professional	26	$33.11	$46.77	$125.89
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $41.69 / $83.18	Professional	TC	$20.89	$41.69	$83.18
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $75.86 / $75.86	Professional		$70.79	$75.86	$75.86
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $34.67 / $36.31 / $36.31	Professional	26	$34.67	$36.31	$36.31
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $43.65 / $56.23 / $147.91	Professional		$43.65	$56.23	$147.91
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $28.84 / $36.31 / $81.28	Professional	26	$28.84	$36.31	$81.28
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $15.14 / $18.62 / $67.61	Professional	TC	$15.14	$18.62	$67.61
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $56.23 / $109.65	Professional		$53.70	$56.23	$109.65
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $8.91 / $41.69 / $58.88	Facility	26	$8.91	$41.69	$58.88
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $104.71 / $323.59	Professional		$70.79	$104.71	$323.59
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $38.02 / $61.66 / $169.82	Professional	26	$38.02	$61.66	$169.82
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $26.30 / $48.98 / $154.88	Professional	TC	$26.30	$48.98	$154.88
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $91.20 / $120.23 / $169.82	Professional		$91.20	$120.23	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $42.66 / $54.95 / $79.43	Professional	26	$42.66	$54.95	$79.43
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $50.12 / $66.07 / $93.33	Professional	TC	$50.12	$66.07	$93.33
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $34.67 / $34.67 / $34.67	Facility	26	$34.67	$34.67	$34.67
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $97.72 / $162.18	Professional		$52.48	$97.72	$162.18
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $32.36 / $47.86 / $77.62	Professional	26	$32.36	$47.86	$77.62
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $51.29 / $87.10	Professional	TC	$17.78	$51.29	$87.10
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $100.00 / $141.25	Professional		$97.72	$100.00	$141.25
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $52.48 / $52.48 / $52.48	Professional	26	$52.48	$52.48	$52.48
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $100.00 / $208.93	Professional		$83.18	$100.00	$208.93
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $44.67 / $53.70 / $97.72	Professional	26	$44.67	$53.70	$97.72
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $38.02 / $47.86 / $109.65	Professional	TC	$38.02	$47.86	$109.65
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $70.79 / $117.49 / $512.86	Professional		$70.79	$117.49	$512.86
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $35.48 / $57.54 / $323.59	Professional	26	$35.48	$57.54	$323.59
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $33.88 / $63.10 / $204.17	Professional	TC	$33.88	$63.10	$204.17
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $30.20 / $51.29 / $125.89	Facility	26	$30.20	$51.29	$125.89
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $52.48 / $97.72 / $208.93	Professional		$52.48	$97.72	$208.93
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $30.90 / $51.29 / $100.00	Professional	26	$30.90	$51.29	$100.00
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $17.78 / $51.29 / $95.50	Professional	TC	$17.78	$51.29	$95.50

New York rates for HCPCS 93280