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 Typical Low / Median / Typical High $131.83 / $309.03 / $912.01	Facility		$131.83	$309.03	$912.01
Aetna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $21.38 / $26.30 / $53.70	Facility	26	$21.38	$26.30	$53.70
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $48.98 / $151.36 / $489.78	Professional		$48.98	$151.36	$489.78
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $20.89 / $33.88 / $83.18	Professional	26	$20.89	$33.88	$83.18
Aetna Facility/Professional Professional Modifier 50 Typical Low / Median / Typical High $50.12 / $50.12 / $50.12	Professional	50	$50.12	$50.12	$50.12
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $95.50 / $123.03 / $239.88	Professional	TC	$95.50	$123.03	$239.88
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $107.15 / $117.49	Professional		$104.71	$107.15	$117.49
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $17.78 / $17.78	Professional	26	$16.98	$17.78	$17.78
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $97.72 / $123.03 / $309.03	Professional		$97.72	$123.03	$309.03
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.98 / $20.89 / $45.71	Professional	26	$16.98	$20.89	$45.71
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $81.28 / $100.00 / $234.42	Professional	TC	$81.28	$100.00	$234.42
CDPHP Facility/Professional Facility Modifier Typical Low / Median / Typical High $33.11 / $33.11 / $147.91	Facility		$33.11	$33.11	$147.91
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $147.91 / $181.97	Professional		$33.11	$147.91	$181.97
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $363.08 / $436.52	Facility		$204.17	$363.08	$436.52
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $5.50 / $25.70 / $37.15	Facility	26	$5.50	$25.70	$37.15
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $234.42 / $562.34	Professional		$138.04	$234.42	$562.34
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $19.50 / $33.11 / $79.43	Professional	26	$19.50	$33.11	$79.43
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $117.49 / $194.98 / $489.78	Professional	TC	$117.49	$194.98	$489.78
Emblem Health Facility/Professional Facility Modifier Typical Low / Median / Typical High $91.20 / $141.25 / $407.38	Facility		$91.20	$141.25	$407.38
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $138.04 / $186.21 / $269.15	Professional		$138.04	$186.21	$269.15
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $37.15 / $204.17	Professional	26	$25.12	$37.15	$204.17
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $125.89 / $162.18 / $218.78	Professional	TC	$125.89	$162.18	$218.78
Excellus BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $102.33 / $173.78 / $295.12	Professional		$102.33	$173.78	$295.12
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $32.36 / $48.98	Professional	26	$17.78	$32.36	$48.98
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $79.43 / $144.54 / $245.47	Professional	TC	$79.43	$144.54	$245.47
Highmark BCBS Facility/Professional Facility Modifier Typical Low / Median / Typical High $112.20 / $177.83 / $281.84	Facility		$112.20	$177.83	$281.84
Highmark BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $158.49 / $158.49 / $199.53	Professional		$158.49	$158.49	$199.53
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $25.12 / $28.84 / $28.84	Professional	26	$25.12	$28.84	$28.84
MVP Health Care Facility/Professional Facility Modifier Typical Low / Median / Typical High $204.17 / $50,118.72 / $75,857.76	Facility		$204.17	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $173.78 / $204.17 / $323.59	Professional		$173.78	$204.17	$323.59
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $27.54 / $33.88 / $52.48	Professional	26	$27.54	$33.88	$52.48
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $144.54 / $173.78 / $288.40	Professional	TC	$144.54	$173.78	$288.40
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $208.93 / $257.04 / $416.87	Facility		$208.93	$257.04	$416.87
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $131.83 / $199.53 / $501.19	Professional		$131.83	$199.53	$501.19
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $21.88 / $33.11 / $85.11	Professional	26	$21.88	$33.11	$85.11
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $112.20 / $169.82 / $416.87	Professional	TC	$112.20	$169.82	$416.87
Univera Facility/Professional Facility Modifier Typical Low / Median / Typical High $93.33 / $104.71 / $436.52	Facility		$93.33	$104.71	$436.52
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $17.38 / $26.92 / $64.57	Facility	26	$17.38	$26.92	$64.57
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $104.71 / $151.36 / $323.59	Professional		$104.71	$151.36	$323.59
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $17.78 / $26.92 / $58.88	Professional	26	$17.78	$26.92	$58.88
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $85.11 / $123.03 / $269.15	Professional	TC	$85.11	$123.03	$269.15

New York rates for HCPCS 93926