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 $3.55 / $4.90 / $7.08	Facility	26	$3.55	$4.90	$7.08
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.88 / $22.91 / $42.66	Professional		$12.88	$22.91	$42.66
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.00 / $3.98 / $12.88	Professional	26	$2.00	$3.98	$12.88
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $10.96 / $16.98 / $29.51	Professional	TC	$10.96	$16.98	$29.51
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $13.18 / $13.18 / $15.85	Professional		$13.18	$13.18	$15.85
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $25.12 / $45.71	Professional		$21.38	$25.12	$45.71
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.37 / $5.13 / $9.12	Professional	26	$4.37	$5.13	$9.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $19.95 / $34.67	Professional	TC	$16.98	$19.95	$34.67
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $5.25 / $19.50 / $24.55	Professional		$5.25	$19.50	$24.55
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $0.65 / $3.02 / $4.37	Facility	26	$0.65	$3.02	$4.37
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $17.38 / $31.62 / $69.18	Professional		$17.38	$31.62	$69.18
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.31 / $6.61 / $14.13	Professional	26	$3.31	$6.61	$14.13
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.13 / $25.12 / $53.70	Professional	TC	$14.13	$25.12	$53.70
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $25.12 / $34.67	Professional		$19.05	$25.12	$34.67
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.16 / $4.17 / $6.17	Professional	26	$3.16	$4.17	$6.17
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.22 / $21.38 / $30.20	Professional	TC	$16.22	$21.38	$30.20
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.45 / $2.45 / $2.45	Facility	26	$2.45	$2.45	$2.45
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $11.75 / $18.62 / $30.90	Professional		$11.75	$18.62	$30.90
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.40 / $3.55 / $5.62	Professional	26	$2.40	$3.55	$5.62
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $8.32 / $15.14 / $25.70	Professional	TC	$8.32	$15.14	$25.70
Highmark BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $5.01 / $5.01 / $6.31	Professional	26	$5.01	$5.01	$6.31
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $25.12 / $30.20 / $44.67	Professional		$25.12	$30.20	$44.67
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $4.79 / $6.17 / $9.33	Professional	26	$4.79	$6.17	$9.33
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.95 / $23.99 / $35.48	Professional	TC	$19.95	$23.99	$35.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $18.62 / $21.88 / $57.54	Professional		$18.62	$21.88	$57.54
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $3.31 / $4.57 / $95.50	Professional	26	$3.31	$4.57	$95.50
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $14.79 / $21.38 / $69.18	Professional	TC	$14.79	$21.38	$69.18
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $2.14 / $3.31 / $20.89	Facility	26	$2.14	$3.31	$20.89
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $12.02 / $18.62 / $39.81	Professional		$12.02	$18.62	$39.81
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $2.14 / $3.55 / $7.59	Professional	26	$2.14	$3.55	$7.59
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $9.77 / $15.14 / $33.11	Professional	TC	$9.77	$15.14	$33.11

New York rates for HCPCS 94200