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 $12.59 / $19.50 / $56.23	Facility	26	$12.59	$19.50	$56.23
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $34.67 / $44.67 / $117.49	Professional		$34.67	$44.67	$117.49
Aetna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $12.30 / $15.49 / $44.67	Professional	26	$12.30	$15.49	$44.67
Aetna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $20.89 / $25.70 / $53.70	Professional	TC	$20.89	$25.70	$53.70
Ambetter Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.02 / $42.66	Professional		$33.11	$38.02	$42.66
Ambetter Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $12.88 / $26.92	Professional	26	$10.96	$12.88	$26.92
Anthem BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $33.11 / $38.90 / $69.18	Professional		$33.11	$38.90	$69.18
Anthem BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $11.48 / $13.49 / $25.12	Professional	26	$11.48	$13.49	$25.12
Anthem BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $21.38 / $25.12 / $44.67	Professional	TC	$21.38	$25.12	$44.67
CDPHP Facility/Professional Professional Modifier Typical Low / Median / Typical High $20.42 / $33.88 / $54.95	Professional		$20.42	$33.88	$54.95
Cigna Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $3.47 / $16.22 / $22.91	Facility	26	$3.47	$16.22	$22.91
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $39.81 / $53.70 / $128.82	Professional		$39.81	$53.70	$128.82
Cigna Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $14.45 / $20.42 / $45.71	Professional	26	$14.45	$20.42	$45.71
Cigna Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $34.67 / $83.18	Professional	TC	$25.12	$34.67	$83.18
Emblem Health Facility/Professional Professional Modifier Typical Low / Median / Typical High $47.86 / $64.57 / $87.10	Professional		$47.86	$64.57	$87.10
Emblem Health Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $15.85 / $21.38 / $30.90	Professional	26	$15.85	$21.38	$30.90
Emblem Health Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $32.36 / $43.65 / $61.66	Professional	TC	$32.36	$43.65	$61.66
Excellus BCBS Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $13.18 / $13.18 / $13.18	Facility	26	$13.18	$13.18	$13.18
Excellus BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $26.92 / $41.69 / $83.18	Professional		$26.92	$41.69	$83.18
Excellus BCBS Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.72 / $17.38 / $30.20	Professional	26	$10.72	$17.38	$30.20
Excellus BCBS Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $16.98 / $26.30 / $52.48	Professional	TC	$16.98	$26.30	$52.48
MVP Health Care Facility/Professional Professional Modifier Typical Low / Median / Typical High $44.67 / $53.70 / $102.33	Professional		$44.67	$53.70	$102.33
MVP Health Care Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $16.60 / $20.42 / $38.02	Professional	26	$16.60	$20.42	$38.02
MVP Health Care Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $27.54 / $33.11 / $64.57	Professional	TC	$27.54	$33.11	$64.57
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $38.90 / $61.66 / $173.78	Professional		$38.90	$61.66	$173.78
United Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $13.49 / $21.88 / $60.26	Professional	26	$13.49	$21.88	$60.26
United Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $25.12 / $40.74 / $112.20	Professional	TC	$25.12	$40.74	$112.20
Univera Facility/Professional Facility Modifier 26 Typical Low / Median / Typical High $11.75 / $17.78 / $57.54	Facility	26	$11.75	$17.78	$57.54
Univera Facility/Professional Professional Modifier Typical Low / Median / Typical High $30.20 / $47.86 / $102.33	Professional		$30.20	$47.86	$102.33
Univera Facility/Professional Professional Modifier 26 Typical Low / Median / Typical High $10.96 / $17.78 / $38.90	Professional	26	$10.96	$17.78	$38.90
Univera Facility/Professional Professional Modifier TC Typical Low / Median / Typical High $19.05 / $30.20 / $63.10	Professional	TC	$19.05	$30.20	$63.10

New York rates for HCPCS 94375