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 $11.22 / $13.49 / $27.54	Facility	26	$11.22	$13.49	$27.54
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $72.44 / $112.20 / $251.19	Professional		$72.44	$112.20	$251.19
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $16.60 / $45.71	Professional	26	$10.96	$16.60	$45.71
Aetna Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $19.05 / $229.09 / $371.54	Professional	52	$19.05	$229.09	$371.54
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $64.57 / $95.50 / $181.97	Professional	TC	$64.57	$95.50	$181.97
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $53.70 / $70.79 / $95.50	Professional		$53.70	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $7.76 / $8.91 / $10.47	Professional	26	$7.76	$8.91	$10.47
Ambetter Facility/Professional Professional Modifier 52 Typical Low / Median / Typical High $15.85 / $15.85 / $15.85	Professional	52	$15.85	$15.85	$15.85
Ambetter Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $51.29 / $51.29 / $51.29	Professional	TC	$51.29	$51.29	$51.29
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $63.10 / $75.86 / $190.55	Professional		$63.10	$75.86	$190.55
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.33 / $11.48 / $25.12	Professional	26	$9.33	$11.48	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $52.48 / $64.57 / $165.96	Professional	TC	$52.48	$64.57	$165.96
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.78 / $102.33 / $120.23	Professional		$17.78	$102.33	$120.23
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.88 / $13.49 / $19.05	Facility	26	$2.88	$13.49	$19.05
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $79.43 / $134.90 / $316.23	Professional		$79.43	$134.90	$316.23
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $18.20 / $42.66	Professional	26	$10.96	$18.20	$42.66
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $66.07 / $117.49 / $281.84	Professional	TC	$66.07	$117.49	$281.84
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $95.50 / $120.23 / $169.82	Professional		$95.50	$120.23	$169.82
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.18 / $19.50 / $131.83	Professional	26	$13.18	$19.50	$131.83
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $104.71 / $147.91	Professional	TC	$83.18	$104.71	$147.91
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $74.13 / $100.00 / $177.83	Professional		$74.13	$100.00	$177.83
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $15.85 / $27.54	Professional	26	$9.77	$15.85	$27.54
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $54.95 / $91.20 / $151.36	Professional	TC	$54.95	$91.20	$151.36
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $109.65 / $134.90	Professional		$102.33	$109.65	$134.90
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $15.14 / $16.60	Professional	26	$10.96	$15.14	$16.60
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $117.49 / $199.53	Professional		$97.72	$117.49	$199.53
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.79 / $17.78 / $26.92	Professional	26	$14.79	$17.78	$26.92
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $83.18 / $100.00 / $177.83	Professional	TC	$83.18	$100.00	$177.83
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $83.18 / $125.89 / $323.59	Professional		$83.18	$125.89	$323.59
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.75 / $17.38 / $43.65	Professional	26	$11.75	$17.38	$43.65
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $72.44 / $107.15 / $281.84	Professional	TC	$72.44	$107.15	$281.84
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $9.55 / $13.80 / $40.74	Facility	26	$9.55	$13.80	$40.74
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $67.61 / $100.00 / $208.93	Professional		$67.61	$100.00	$208.93
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $9.77 / $13.80 / $30.20	Professional	26	$9.77	$13.80	$30.20
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $56.23 / $89.13 / $177.83	Professional	TC	$56.23	$89.13	$177.83

New York rates for HCPCS 93922